Managing chest pain in patients with concomitant left bundle-branch block

Andrew Wyant; Somu Chatterjee; Tamara Bennett

doi:10.1097/01.JAA.0000525904.44484.5c

Managing chest pain in patients with concomitant left bundle-branch block

Andrew Wyant, Somu Chatterjee, Tamara Bennett

Physician Assistant Studies

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Diagnosis and timely management of acute myocardial infarction (MI) relies heavily on the ST-segment elevation sum. Presence of concomitant left bundle-branch block (LBBB) in patients presenting with possible acute MI presents a diagnostic dilemma. The LBBB pattern distorts STsegment changes, delaying or preventing accurate diagnosis. This article reviews the Sgarbossa criteria and ST/S ratio and presents a treatment algorithm that may help improve patient care and reduce morbidity and mortality.

Original language	English
Pages (from-to)	16-21
Number of pages	6
Journal	Journal of the American Academy of Physician Assistants
Volume	30
Issue number	11
DOIs	https://doi.org/10.1097/01.JAA.0000525904.44484.5c
State	Published - Nov 1 2017

Bibliographical note

Publisher Copyright:
© 2017 American Academy of Physician Assistants.

Keywords

ECG findings
ST/S ratio
Sgarbossa criteria
acute myocardial infarction
chest pain
left bundle-branch block

ASJC Scopus subject areas

Nurse Assisting

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10.1097/01.JAA.0000525904.44484.5c

Cite this

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title = "Managing chest pain in patients with concomitant left bundle-branch block",

abstract = "Diagnosis and timely management of acute myocardial infarction (MI) relies heavily on the ST-segment elevation sum. Presence of concomitant left bundle-branch block (LBBB) in patients presenting with possible acute MI presents a diagnostic dilemma. The LBBB pattern distorts STsegment changes, delaying or preventing accurate diagnosis. This article reviews the Sgarbossa criteria and ST/S ratio and presents a treatment algorithm that may help improve patient care and reduce morbidity and mortality.",

keywords = "ECG findings, ST/S ratio, Sgarbossa criteria, acute myocardial infarction, chest pain, left bundle-branch block",

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N2 - Diagnosis and timely management of acute myocardial infarction (MI) relies heavily on the ST-segment elevation sum. Presence of concomitant left bundle-branch block (LBBB) in patients presenting with possible acute MI presents a diagnostic dilemma. The LBBB pattern distorts STsegment changes, delaying or preventing accurate diagnosis. This article reviews the Sgarbossa criteria and ST/S ratio and presents a treatment algorithm that may help improve patient care and reduce morbidity and mortality.

AB - Diagnosis and timely management of acute myocardial infarction (MI) relies heavily on the ST-segment elevation sum. Presence of concomitant left bundle-branch block (LBBB) in patients presenting with possible acute MI presents a diagnostic dilemma. The LBBB pattern distorts STsegment changes, delaying or preventing accurate diagnosis. This article reviews the Sgarbossa criteria and ST/S ratio and presents a treatment algorithm that may help improve patient care and reduce morbidity and mortality.

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KW - ST/S ratio

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KW - chest pain

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Managing chest pain in patients with concomitant left bundle-branch block

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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