Probability of Acute Myocardial Infarction in the Presence of Left Bundle Branch Block Using the Criteria of Sgarbossa et al

Purpose: To estimate the probability of an acute myocardial infarction in a patient with left bundle branch block (LBBB) using the criteria of Sgarbossa et al.

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Evaluation

Are you evaluating a patient with LBBB who presents with chest pain?

Yes

Number of leads showing an ST segment elevation >= 1 mm in the same direction as the QRS complex

Number of leads showing an ST segment elevation >= 5 mm in the opposite direction to the QRS complex

Is there an ST segment depression >= 1 mm in leads V1, V2 or V3?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Score

Probability of acute myocardial infarction

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
Other Testing
- CART ECG Algorithms of Lehmann et al for Identifying the Occluded Artery in a Patient with an Acute Myocardial Infarction
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- Predictive Instrument of Wei et al for Evaluating a Patient in the Emergency Room with Chest Pain
- Screening Criteria of Anderson et al for Separating Anterior and Inferior Myocardial Infarcts

Therapy

Selection

Monitoring

Complication Detection
- Risk Assessment Scheme of Ellis et al for Outcome After Percutaneous Coronary Intervention (PCI)

Specialty

Cardiology

Objective

clinical diagnosis
including family history for genetics
imaging studies
other testing

ICD-10

I20-I25 - Ischaemic heart diseases

Info

Purpose: To estimate the probability of an acute myocardial infarction in a patient with left bundle branch block (LBBB) using the criteria of Sgarbossa et al.

Specialty: Cardiology

Objective: clinical diagnosis, including family history for genetics, imaging studies, other testing

ICD-10: I20-I25,

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