19 year old male, Smoker, h/o palpitations once 2 months ago, now again with palpitations, presented with this ECG.
No response with Adenosine and Verapamil.
Second ECG post DCC.
Comments??
@ekg @ecgandrhythmRoe@ecgchallenge@EcgOxford
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Sensitivity (36%) of the Sgarbossa criteria for AMI diagnosis in LBBB has been improved with Smith (91%) ST/S ratio <_-0.25 to now Barcelona (93-95%) with just 2 criteria. Just remember 1.concordant ST dev in any lead or 2. Discordant ST dev>1 mm in low voltage leads (R/S<6mm)
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