Identifying acute myocardial infarction in ventricular-paced patients: A case report on the effectiveness of modified Sgarbossa criteria

We report a case where application of the Modified Sgarbossa criteria (mSC) would have immediately identified AMI in a patient with a VP and merited strong advocacy for emergent cardiac catheterization.A 94-year-old male with VP presented to the emergency department (ED) after he had burning sensation in his chest. Initial ECG demonstrated>5  mm of discordant ST elevation in leads III and aVF which gave him 2 points per original Sgarbossa Criteria (oSC) and not meeting criteria for activation for cardiac catheterization.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research