CARDIOLOGY - ECG LIBRARY
Case 54
80M chest pain 6 hours. ECG findings + interpretation
Expected Response
LBBB
Discordant ST elevation of >5mm in anterior leads (V1-V4). - (ECG Sgarbossa criteria for STEMI)
clinical picture and ECG findings are consistent with an anterior STEMI.
Q then asked you to outline the criteria used…
Sgarbossa criteria:
Concordant ST elevation > 1mm in leads with a positive QRS complex
Concordant ST depression > 1 mm in V1-V3Excessively discordant ST elevation > 5 mm in leads with a negative QRS complex
Discordant ST elevation of >5mm in anterior leads (V1-V4). - (ECG Sgarbossa criteria for STEMI)
clinical picture and ECG findings are consistent with an anterior STEMI.
Q then asked you to outline the criteria used…
Sgarbossa criteria:
Concordant ST elevation > 1mm in leads with a positive QRS complex
Concordant ST depression > 1 mm in V1-V3Excessively discordant ST elevation > 5 mm in leads with a negative QRS complex