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When to use modified Sgarbossa for occlusion mi?
There are no modified-Sgarbossa criteria for occlusion MI, but patient had ongoing chest pain with a positive trop requiring cath lab activation, which found a circumflex occlusion (which doesn’t meet STEMI criteria in a quarter of the cases even in patients without LBBB).
What are the criteria for LBBB and occlusion mi?
The Smith-modified Sgarbossa criteria replaced the absolute discordance of >5mm with a relative discordance of ST/S30% the preceding S wave, or STD>30% preceding R wave ) in any lead [5].
When to shift from STEMI to occlusion mi?
The shift from STEMI to OMI (occlusion MI) includes examining ST changes (both elevation and depression) relative to the preceding QRS and in context of the patient’s symptoms. As the validation study discovered, “we found that the modified Sgarbossa criteria performed similarly well using a proportionality cutoff of -0.20 or -0.25.
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To help you increase your nursing clinical judgement (critical thinking), each unfolding nursing case study includes answers laid out by Blooms Taxonomy to help you see that you are progressing to clinical analysis.We encourage you to read the case study and really through the "critical thinking checks" as this is where the real learning occurs.
Last Update: Oct 2021
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Cardiac troponin is highest 24 hours after infarct.
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