Sgarbossa's criteria: Difference between revisions
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==Background== | ==Background== | ||
*Assesses likelihood that pt w/ chest pain and baseline LBBB is having a STEMI | |||
*Criteria do NOT need to be found in contiguous leads | |||
*RBBB should NEVER have ST elevation | |||
*Low Sn, High Sp | |||
==Criteria== | |||
*ST elevation ≥1 mm in a lead with upward (concordant) QRS complex - 5 points | |||
*ST depression ≥1 mm in lead V1, V2, or V3 - 3 points | |||
*ST | *ST elevation ≥5 mm in a lead with downward (discordant) QRS complex - 2 points | ||
*ST | |||
*ST | |||
Points | ==Points== | ||
*≥3 points = 98% probability of STEMI | |||
== | |||
==Source== | ==Source== | ||
Sgarbossa, American Heart Journal 2006 | *Sgarbossa, American Heart Journal 2006 | ||
[[Category:Cards]] | [[Category:Cards]] |
Revision as of 01:53, 8 April 2011
Background
- Assesses likelihood that pt w/ chest pain and baseline LBBB is having a STEMI
- Criteria do NOT need to be found in contiguous leads
- RBBB should NEVER have ST elevation
- Low Sn, High Sp
Criteria
- ST elevation ≥1 mm in a lead with upward (concordant) QRS complex - 5 points
- ST depression ≥1 mm in lead V1, V2, or V3 - 3 points
- ST elevation ≥5 mm in a lead with downward (discordant) QRS complex - 2 points
Points
- ≥3 points = 98% probability of STEMI
Source
- Sgarbossa, American Heart Journal 2006