Sgarbossa in the wild
- Chris Pollina
- Jul 17, 2023
- 1 min read
This patient presented with intermittent chest pain and had an initial troponin of 18,000. This patient has concordant ST elevation in I and II, as well as excessive discordant elevation in V2-V4. The patient had a 99% mid-to-distal LAD lesion that was successfully stented.
The following is a review of the Sgarbossa Criteria for acute MI in patients with a LBBB (old or new).
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This is such a valuable real-world case — seeing Sgarbossa Criteria applied to an actual patient with concordant ST elevation and a confirmed LAD lesion really brings the textbook to life. So many of us have read about LBBB in the context of acute MI, but visualizing it through a live case like this makes the pattern recognition click in a completely different way. It reminds me of how much easier complex concepts become when you have concrete examples to anchor them to. That's true whether you're a medical professional sharpening your ECG skills or a student tackling tough coursework — good examples are everything. Speaking of which, students dealing with similarly dense material often turn to Affordable Assignment Assistance…
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