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| M.I. Criteria for Likelihood in Chest Pain with LBBB |
The EBMcalc module M.I. Criteria for Likelihood in Chest Pain with LBBB is available in EBMcalc Complete Edition.
This calculator evaluates the following Clinical Criteria:
- ST Elevation ≥1 mm concordant with QRS axis
- ST depression ≥1 mm in V1, V2 or V3
- ST Elevation ≥5 mm discordant with QRS axis
References
- Bates ER. ACP Journal Club. Review: Sgarbossa scores > or = 3 have low sensitivity and high specificity for predicting MI in left bundle branch block. Ann Intern Med. 2009 Feb 17;150(4):JC2-15. PubMed ID: 19238613
- Sgarbossa EB, Pinski SL, Barbagelata A, et al. Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block. GUSTO-1 (Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries) Investigators. N Engl J Med. 1996 Feb 22;334(8):481-7. PubMed ID: 8559200
- Tabas JA, Rodriguez RM, Seligman HK, Goldschlager NF. Electrocardiographic criteria for detecting acute myocardial infarction in patients with left bundle branch block: a meta-analysis. Ann Emerg Med. 2008 Oct;52(4):329-336.e1. doi: 10.1016/j.annemergmed.2007.12.006. Epub 2008 Mar 17. PubMed ID: 18342992
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