Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3232903 | Annals of Emergency Medicine | 2008 | 9 Pages |
Abstract
A Sgarbossa ECG algorithm score of greater than or equal to 3, representing greater than or equal to 1 mm of concordant ST elevation or greater than or equal to 1 mm ST depression in leads V1 to V3, is useful for diagnosing acute myocardial infarction in patients who present with left bundle branch block on ECG. The scoring system demonstrates good to excellent overall interobserver variability. A score of 2, representing 5 mm or more of discordant ST deviation, demonstrated ineffective positive likelihood ratios. A Sgarbossa ECG algorithm score of 0 is not useful in excluding acute myocardial infarction.
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Authors
Jeffrey A. MD, Robert M. MD, Hilary K. MD, Nora F. MD,