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American Heart Journal 170(6):1255-1264; December 2015. LAFB, atrialflutter, anterolateral STEMI(+) OMI. EKG shown here: LAFB with no clear signs of OMI or ischemia. Validation of the Modified Sgarbossa Rule for Diagnosis of STEMI in the Presence of Left Bundle Branch Block. Derivation in LBBB: --> Smith SW.
Evidence of acute ischemia (may be subtle) vii. ST segment and T wave abnormalities consistent with or possibly related to myocardial ischemia. Annals of Emergency Medicine March 2015 ; Volume 65, Issue 3, Pages 268–276.e6 2nd or 3rd degree AV blocks or sinus pause of at least 2 seconds iv. Left BBB vi. Pathologic Q-waves viii.
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