Sgarbossa's criteria

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Sgarbossa's Criteria

Sgarbossa's Criteria (pronunciation: sgar-bos-sa's cri-te-ria) is a set of electrocardiogram (ECG) findings used to identify myocardial infarction (MI) in the presence of a left bundle branch block (LBBB) or a ventricular paced rhythm.

Etymology

The criteria are named after Dr. Elena B. Sgarbossa, a cardiologist who first described them in 1996.

Criteria

The criteria consist of three main points:

  1. Concordant ST elevation > 1mm in leads with positive QRS complex (5 points)
  2. Concordant ST depression > 1mm in V1-V3 (3 points)
  3. Excessively discordant ST elevation > 5mm in leads with negative QRS complex (2 points)

A score of ≥3 is considered positive for myocardial infarction.

Related Terms

See Also

References

  • Sgarbossa EB, Pinski SL, Barbagelata A, et al. Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block. GUSTO-1 (Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries) Investigators. N Engl J Med. 1996;334(8):481-7.

External links

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