Join in the conversation between Scott Weingart and Steve Smith as they discuss who should go to the cath lab on Dr. Scott Weingart's EMCRIT two part podcast or check out the pdf cheat sheet from Dr. Smith on which patients should go to the cath lab and when to engage you cardiologist for consult.
Dr. Smith urges us to know the Sgarbossa Criteria and advocate for our patients. Start with his blog post here:
The original criteria used to diagnose MI in patients with LBBB are:
Also check out the modified Sgarbossa Criteria from Dr. Smith's blog
Also check out this great summary from LITFL.
Specific for proximal LAD occlusion. Important not to miss as medical management typically not effective for proximal lesions, they need the cath lab.
Check out LITFL with a list of criteria for Wellen's per Rhinehart et al
Review of DeWinter's Waves from LITFL. Also check out Amal Mattu's video.
BLUF: This is a STEMI equivalent that can represent acute occlusion of the LAD that needs to be treated immediately.
Our thanks to Dr. Tim Davie for assembling the Copa Cardiogram each week. Please follow this link to get to spreadsheet of all Copa Cardiograms.
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