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Challenges in Clinical Electrocardiography
February 11, 2019

Enhancing the Sgarbossa Criteria for the Diagnosis of ST Elevation Myocardial Infarction

Author Affiliations
  • 1Department of Medicine, University of California, San Francisco
  • 2Division of Cardiology, Department of Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California
JAMA Intern Med. 2019;179(4):564-566. doi:10.1001/jamainternmed.2018.7993

A woman in her 70s presented to the emergency department with chest pain of 30 minutes’ duration. Her medical history included coronary artery disease, ischemic cardiomyopathy, and tachycardia-bradycardia syndrome with atrial fibrillation. She had previously undergone implantation of a dual-chamber pacemaker, subsequently upgraded to a biventricular pacing system for cardiac resynchronization therapy in the setting of worsening left ventricular ejection fraction (<35%) and high pacemaker dependence.

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