ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA

Authors

  • Ayaz Hussain Shaikh
  • Bashir Hanif
  • Faiza Malik
  • Khursheed Hasan

Keywords:

acute myocardial infarction, left bundle branch block, electrocardiogram, sgarbossa, criteria

Abstract

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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Published

2008-12-18

How to Cite

Hussain Shaikh, A., Hanif, B., Malik, F., & Hasan, K. (2008). ACUTE MAYOCARDIAL INFRACTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA. Journal of the Dow University of Health Sciences (JDUHS), 2(3), 112–114. Retrieved from https://jduhs.jduhs.duhs.edu.pk/index.php/jduhs/article/view/1295

Issue

Vol. 2 No. 3

Section

Case Report

License

Copyright (c) 2021 Ayaz Hussain Shaikh, Bashir Hanif, Faiza Malik, Khursheed Hasan

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Articles published in the Journal of Dow University of Health Sciences are distributed under the terms of the Creative Commons Attribution Non-Commercial License https://creativecommons.org/ licenses/by-nc/4.0/. This license permits use, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal.