Sgarbossa's criteria
Revision as of 07:01, 3 March 2011 by Rossdonaldson1 (talk | contribs)
Background
- Sgarbossa Criteria help in assessing the likelihood that a patient with chest pain and a baseline LBBB is having a STEMI
- Low Sensitivity, High Specificity
Sgarbossa Criteria
- ST-segment elevation ≥1 mm in a lead with upward (concordant) QRS complex (5 points)
- ST-segment depression ≥1 mm in lead V1, V2, or V3 (3 points)
- ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points)
Points Probability STEMI 0 16% 5-10 88-100%
Notes
- Unlike general AHA STEMI criteria, the Sgarbossa criteria do NOT need to be found in contiguous leads
- RBBB should NEVER have ST elevation
Source
Sgarbossa, American Heart Journal 2006