Sgarbossa's criteria: Difference between revisions

Revision as of 23:38, 1 March 2011

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

Adapted From:

Sgarbossa, American Heart Journal 2006

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
--Sgarbossa Criteria help in assessing the likelihood that a patient with chest pain and a baseline LBBB is having a STEMI.
--Low Sens, High Specificity
+* -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 V<sub>1</sub>, V<sub>2</sub>, or V<sub>3</sub> (3 points)
+* 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)
-. ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points)
+Points	Probability STEMI
+	16%
+-10	88-100%
-Specific, not sensitive.
+Notes==
-{| class="pbNotSortable" width="200" cellspacing="1" cellpadding="1"
-| '''Points<br />'''
-| '''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
--Unlike general AHA STEMI criteria, the Sgarbossa criteria do NOT need to be found in contiguous leads
+==Adapted From:==
+Sgarbossa, American Heart Journal 2006
--Multiple elements, only 3 have been sufficiently validated
--A RBBB should NEVER have ST elevation
-==Adapted From:==
-Sgarbossa, American Heart Journal 2006
+[[Category:Cards]]