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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Format: | Article |
Language: | English |
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Dow University of Health Sciences
2008-12-01
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Series: | Journal of the Dow University of Health Sciences |
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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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first_indexed | 2024-03-13T08:55:01Z |
format | Article |
id | doaj.art-12c5d9c286bb418280248703da8a44ec |
institution | Directory Open Access Journal |
issn | 1995-2198 2410-2180 |
language | English |
last_indexed | 2024-03-13T08:55:01Z |
publishDate | 2008-12-01 |
publisher | Dow University of Health Sciences |
record_format | Article |
series | Journal of the Dow University of Health Sciences |
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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