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Electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report

BACKGROUND: The electrocardiographic diagnosis of acute myocardial infarction (AMI) in the setting of cardiac pacing is often challenging. The original Sgarbossa criteria proposed in 1996 were demonstrated to be valid for diagnosis of AMI in both ventricular paced rhythm and left bundle branch block...

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Autores principales: Du, Xing, Zhang, Yongjun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8783514/
https://www.ncbi.nlm.nih.gov/pubmed/35065594
http://dx.doi.org/10.1186/s12872-022-02462-7
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author Du, Xing
Zhang, Yongjun
author_facet Du, Xing
Zhang, Yongjun
author_sort Du, Xing
collection PubMed
description BACKGROUND: The electrocardiographic diagnosis of acute myocardial infarction (AMI) in the setting of cardiac pacing is often challenging. The original Sgarbossa criteria proposed in 1996 were demonstrated to be valid for diagnosis of AMI in both ventricular paced rhythm and left bundle branch block. To improve accuracy, the modified Sgarbossa criteria (MSC) were proposed. CASE PRESENTATION: We presented a case of electrocardiographic diagnosis of AMI in a pacemaker patient. The Electrocardiogram (ECG) was false negative by using the original Sgarbossa criteria, whereas true positive by the MSC at a ratio of − 0.20. CONCLUSIONS: The application of MSC using an appropriate ratio (− 0.20 or − 0.25) may facilitate a timely diagnosis of AMI. Physicians should carefully choose the appropriate cutoff in a case-by-case basis.
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spelling pubmed-87835142022-01-24 Electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report Du, Xing Zhang, Yongjun BMC Cardiovasc Disord Case Report BACKGROUND: The electrocardiographic diagnosis of acute myocardial infarction (AMI) in the setting of cardiac pacing is often challenging. The original Sgarbossa criteria proposed in 1996 were demonstrated to be valid for diagnosis of AMI in both ventricular paced rhythm and left bundle branch block. To improve accuracy, the modified Sgarbossa criteria (MSC) were proposed. CASE PRESENTATION: We presented a case of electrocardiographic diagnosis of AMI in a pacemaker patient. The Electrocardiogram (ECG) was false negative by using the original Sgarbossa criteria, whereas true positive by the MSC at a ratio of − 0.20. CONCLUSIONS: The application of MSC using an appropriate ratio (− 0.20 or − 0.25) may facilitate a timely diagnosis of AMI. Physicians should carefully choose the appropriate cutoff in a case-by-case basis. BioMed Central 2022-01-22 /pmc/articles/PMC8783514/ /pubmed/35065594 http://dx.doi.org/10.1186/s12872-022-02462-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Du, Xing
Zhang, Yongjun
Electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report
title Electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report
title_full Electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report
title_fullStr Electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report
title_full_unstemmed Electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report
title_short Electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report
title_sort electrocardiographic diagnosis of acute myocardial infarction in a pacemaker patient: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8783514/
https://www.ncbi.nlm.nih.gov/pubmed/35065594
http://dx.doi.org/10.1186/s12872-022-02462-7
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