The left bundle-branch block puzzle in the 2013 ST-elevation myocardial infarction guideline: from falsely declaring emergency to denying reperfusion in a high-risk population. Are the Sgarbossa Criteria ready for prime time?

@article{Cai2013TheLB,
  title={The left bundle-branch block puzzle in the 2013 ST-elevation myocardial infarction guideline: from falsely declaring emergency to denying reperfusion in a high-risk population. Are the Sgarbossa Criteria ready for prime time?},
  author={Qiangjun Cai and Nilay Mehta and Elena B Sgarbossa and Sergio L Pinski and Galen S. Wagner and Robert M. Califf and Alejandro N Barbagelata},
  journal={American heart journal},
  year={2013},
  volume={166 3},
  pages={409-13}
}
Prompt and accurate identification of ST-elevation myocardial infarction (STEMI) in the presence of left bundle-branch block (LBBB) remains difficult. The 2004 STEMI guideline recommended emergent reperfusion therapy to patients with suspected ischemia and new or presumably new LBBB. These recommendations have led to frequent false catheterization laboratory activation and inappropriate fibrinolytic therapy because most patients with suspected ischemia and new or presumably new LBBB do not have… CONTINUE READING
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