CARDIOLOGY - ECG LIBRARY
Case 53
50F 2h Chest pain. ECG abnormalities + evidence, Clinical significance
Expected Response
LBBB – left axis deviation, QRS broad approx. 160ms (2 marks)
STEMI equivalent Sgarbossa criteria
Concordant ST elevation (I, avL)
Excessively discordant ST elevation >5mm (V2 V3)
Hyperacute tall T waves anterior leads (V2-V4) (1 mark)
clinical significance = STEMI equivalent, requires urgent re-perfusion
STEMI equivalent Sgarbossa criteria
Concordant ST elevation (I, avL)
Excessively discordant ST elevation >5mm (V2 V3)
Hyperacute tall T waves anterior leads (V2-V4) (1 mark)
clinical significance = STEMI equivalent, requires urgent re-perfusion