ACUTE MYOCARDIAL INFARCTION WITH LEFT BUNDLE BRANCH BLOCK (LBBB): SIGNIFICANCE OF SGARBOSSA CRITERIA | [Journal of Dow University of Health Sciences • 2008]

Author(s):

1. Ayaz Hussain Shaikh: Department of Cardiology, Tabba Heart Institute, Karachi, Pakistan

2. Bashir Hanif: Department of Cardiology, Tabba Heart Institute, Karachi, Pakistan

3. Faiza Malik: Department of Cardiology, Tabba Heart Institute, Karachi, Pakistan

4. Khursheed Hasan: Department of Cardiology, Tabba Heart Institute, Karachi, Pakistan

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 segment elevation in leads V1-V3 and 1mm concordant ST segment elevation in lead V4. Diagnosis o f acute anterior wall STEMI was made based on Sgarbossa criteria. She underwent angiography which showed total occlusion o f proximal left anterior descending artery which was stented. She had uneventful post-stenting course in hospital and was discharged. The case highlights the significance of Sgarbossa criteria which can be applied to diagnose acute myocardial infarction in the presence o f LBBB so th at prompt thrombolytic or primary angioplasty can be preformed.

Page(s): 112-114

DOI: DOI not available

Published: Journal: Journal of Dow University of Health Sciences, Volume: 2, Issue: 3, Year: 2008

Keywords:

Acute myocardial infarction , Sgarbossa Criteria , electrocardiogram , left bundle branch block

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