title: BET 2: Diagnosing acute myocardial infarction in the presence of ventricular pacing: can Sgarbossa criteria help?
abstract: The Sgarbossa criteria can be used to identify patients who have acute myocardial infarction (AMI) in the presence of left bundle branch block, which obscures the usual changes associated with ST elevation myocardial infarction. Patients with ventricular paced rhythm have ECG changes with similar morphology to left bundle branch block. A short-cut systematic review was carried out to establish whether the Sgarbossa criteria can accurately diagnose AMI in the presence of ventricular paced rhythm. Three studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that.
authors.affiliation: The University of Manchester, Manchester, UK.
authors.forename: Arunan
authors.initials: A
authors.lastname: Jothieswaran
authors.affiliation: The University of Manchester, Manchester, UK Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Body
mesh_terms: D002037:Bundle-Branch Block / Q000150:complications* / Q000503:physiopathology*; D003661:Decision Support Techniques; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D006352:Heart Ventricles / Q000503:physiopathology*; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology*