ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA

A middle aged female presented in emergency department with chest discomfort. Her old electrocardiogram (EKG) showed left bundle branch block (LBBB) signs, EKG performed in the emergency room revealed left bundle branch block with 4-6 mm discordant ST segement elevation in lead V1-V3 and 1mm concor...

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Main Authors: Ayaz Hussain Shaikh, Bashir Hanif, Faiza Malik, Khursheed Hasan
Format: Article
Language:English
Published: Dow University of Health Sciences 2008-12-01
Series:Journal of the Dow University of Health Sciences
Subjects:
Online Access:https://www.jduhs.com/index.php/jduhs/article/view/1295
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author Ayaz Hussain Shaikh
Bashir Hanif
Faiza Malik
Khursheed Hasan
author_facet Ayaz Hussain Shaikh
Bashir Hanif
Faiza Malik
Khursheed Hasan
author_sort Ayaz Hussain Shaikh
collection DOAJ
description A middle aged female presented in emergency department with chest discomfort. Her old electrocardiogram (EKG) showed left bundle branch block (LBBB) signs, EKG performed in the emergency room revealed left bundle branch block with 4-6 mm discordant ST segement elevation in lead V1-V3 and 1mm concordant ST segement elevation in lead V4. Diagnosis of acute anterior wall STEMI was made based on Sgarbossa criteria. She underwent angiography which showed total occlusion of proximal left anterior descending artery which was stented. She had unevenful post-stenting course in hospital and was discharged. The case highlights te significances of Sgarbossa criteria which can be applied to diagnose acute mycardial infraction in the presence of LBBB so that prompt thrombolytic or primary angioplasty can be performed. 
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spelling doaj.art-12c5d9c286bb418280248703da8a44ec2023-05-29T03:12:04ZengDow University of Health SciencesJournal of the Dow University of Health Sciences1995-21982410-21802008-12-0123ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIAAyaz Hussain ShaikhBashir HanifFaiza MalikKhursheed Hasan A middle aged female presented in emergency department with chest discomfort. Her old electrocardiogram (EKG) showed left bundle branch block (LBBB) signs, EKG performed in the emergency room revealed left bundle branch block with 4-6 mm discordant ST segement elevation in lead V1-V3 and 1mm concordant ST segement elevation in lead V4. Diagnosis of acute anterior wall STEMI was made based on Sgarbossa criteria. She underwent angiography which showed total occlusion of proximal left anterior descending artery which was stented. She had unevenful post-stenting course in hospital and was discharged. The case highlights te significances of Sgarbossa criteria which can be applied to diagnose acute mycardial infraction in the presence of LBBB so that prompt thrombolytic or primary angioplasty can be performed.  https://www.jduhs.com/index.php/jduhs/article/view/1295acute myocardial infarctionleft bundle branch blockelectrocardiogramsgarbossacriteria
spellingShingle Ayaz Hussain Shaikh
Bashir Hanif
Faiza Malik
Khursheed Hasan
ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA
Journal of the Dow University of Health Sciences
acute myocardial infarction
left bundle branch block
electrocardiogram
sgarbossa
criteria
title ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA
title_full ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA
title_fullStr ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA
title_full_unstemmed ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA
title_short ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA
title_sort acute mayocardial infraction with left bundle branch block lbbb significance of sgarbossa criteria
topic acute myocardial infarction
left bundle branch block
electrocardiogram
sgarbossa
criteria
url https://www.jduhs.com/index.php/jduhs/article/view/1295
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AT bashirhanif acutemayocardialinfractionwithleftbundlebranchblocklbbbsignificanceofsgarbossacriteria
AT faizamalik acutemayocardialinfractionwithleftbundlebranchblocklbbbsignificanceofsgarbossacriteria
AT khursheedhasan acutemayocardialinfractionwithleftbundlebranchblocklbbbsignificanceofsgarbossacriteria