Left bundle branch block: simplified Sgarbossa criteria applied to prehospital ECGs

Autor:	David Fitzpatrick, Andrew Flapan, Alexandra C Viner, Scott McLean
Rok vydání:	2010
Předmět:	medicine.medical_specialty Discharge diagnosis Left bundle branch block business.industry Major trauma medicine.disease Chest pain Reperfusion therapy Internal medicine Ambulance service medicine Cardiology In patient cardiovascular diseases Myocardial infarction medicine.symptom business
Zdroj:	Journal of Paramedic Practice. 2:246-254
ISSN:	2041-9457 1759-1376
DOI:	10.12968/jpar.2010.2.6.48795
Popis:	In patients presenting with chest pain, the presence of left bundle branch block (LBBB) on the electrocardiogram (ECG) may obscure the diagnosis of acute myocardial infarction (AMI). Patients with LBBB caused by AMI are shown to benefit significantly from rapid provision of reperfusion therapy, yet evidence suggests this is often underprovided. Difficulties in the identification of AMI in these patients is the most commonly cited reason. The aim of the research was to determine whether the application of the simplified Sgarbossa criteria to undifferentiated chest pain patients presenting with ECG changes of LBBB, transmitted during the prehospital phase of care, will be positively predictive of a discharge diagnosis of AMI.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::5ccafd9f9f324505ae0cbd2f366d79f1 https://doi.org/10.12968/jpar.2010.2.6.48795 Zobrazit plný text záznamu