New electrocardiographic criteria for the diagnosis of acute myocardial infarction in patients with LBBB

The results showed that the Barcelona algorithm (BA) was specific and highly sensitive for the diagnosis of AMI but needed external validation. [...]we aimed to conduct a study to validate the performance of the BA and modified Sgarbossa criteria (MSC). [...]the BA is highly sensitive for the diagno...

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Bibliographic Details
Published in:The American journal of emergency medicine 2023-05, Vol.67, p.192-193
Main Authors: Lin, Zih-Yang, Chen, Cheng Hsu, Chou, Chu-Chung, Lin, Yan-Ren
Format: Article
Language:English
Subjects:
Algorithms
Diagnosis
Electrocardiography
Emergency medical care
Heart attacks
Humans
Medical diagnosis
Myocardial infarction
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Patients
Writing
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Summary:The results showed that the Barcelona algorithm (BA) was specific and highly sensitive for the diagnosis of AMI but needed external validation. [...]we aimed to conduct a study to validate the performance of the BA and modified Sgarbossa criteria (MSC). [...]the BA is highly sensitive for the diagnosis of AMI, which may help us optimize the diagnosis and treatment of patients with LBBB and suspected AMI in the ED.Disclosure statement The remaining authors have nothing to disclose.CRediT authorship contribution statement Zih-Yang Lin: Formal analysis, Writing – original draft. All AMI patients n = 115 Method Positive Negative Sensitivity (95%CI) Specificity (95% CI) PPV(95% CI) NPV(95% CI) MSC Positive 5 0 0.26 (0.07–0.46) 1.00 (1.00–1.00) 1.00 (1.00–1.00) 0.87 (0.81–0.94) Negative 14 96 BA Positive 16 2 0.84 (0.68–1.01) 0.98 (0.95–1.01) 0.89 (0.74–1.03) 0.97 (0.93–1.00) Negative 3 94 Table 1 Diagnostic performance for AMI of the BARCELONA algorithm and modified Sgarbossa criteria.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2023.03.001