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

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    Author
    Viner, Alezandra
    McLean, Scott
    Fitzpatrick, David cc
    Flapan, Andrew
    Keyword
    Emergency Medical Services
    Acute Myocardial Infarction (AMI)
    Bundle-Branch Block
    Pre-hospital Care
    Electrocardiogram (ECG)
    Journal title
    Journal of Paramedic Practice
    
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    URI
    http://hdl.handle.net/20.500.12417/1281
    DOI
    10.12968/jpar.2010.2.6.48795
    Abstract
    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. Abstract published with permission
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2010.2.6.48795
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