ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA
Keywords:
acute myocardial infarction, left bundle branch block, electrocardiogram, sgarbossa, criteriaAbstract
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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Copyright (c) 2021 Ayaz Hussain Shaikh, Bashir Hanif, Faiza Malik, Khursheed Hasan
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