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J Electrocardiol. 2018 Sep - Oct;51(5):830-832. doi: 10.1016/j.jelectrocard.2018.05.014. Epub 2018 May 26.

Sgarbossa criteria used to identify cardiac ischemia in patient with ventricular paced rhythm.

Author information

1
Function of Emergency Medicine Solna, Karolinska University Hospital, Stockholm, Sweden.
2
Cardiovascular Theme, Karolinska University Hospital, Stockholm, Sweden.
3
Function of Emergency Medicine Solna, Karolinska University Hospital, Stockholm, Sweden. Electronic address: therese.djarv@ki.se.

Abstract

There is a paucity of research on how the Sgarbossa criteria perform in patients with ventricular pacing. However, the limited research that exists suggests that the criteria are specific, but not sensitive, for myocardial ischemia in this population. We present the case of a 73-year-old man who presented to the ED with acute chest pain. His previous medical history was significant for hypertension and a pacemaker due to type 2 s-degree AV block. His initial ECG fulfilled all three Sgarbossa criteria and subsequent coronary angiography identified a culprit lesion in the posterior descending artery. In this case, awareness of the Sgarbossa criteria's applicability in patients with ventricular paced rhythm facilitated earlier identification of ischemia and subsequent intervention.

KEYWORDS:

Acute coronary syndrome; Acute myocardial infarction; Electrocardiography; Pacemaker; Sgarbossa criteria; Ventricular paced rhythm

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