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Journals / MN Kardiyoloji / 2018 / Cilt: 25 - Sayı: 3

Current Approach to Myocardial Infarction in Left Bundle Branch Block

Sol Dal Bloğunda Miyokard Enfarktüsüne Yaklaşım

Hüsnü DEĞİRMENCİ
Reşit COŞKUN
Pages
149–153
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This review aim at contribute to clinicians decision in ST eleva- tional miyocard infarctus presenting with left bundle brunch block ecg.

📌 3 Key Takeaways

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Objective & Hypothesis:Patients detected new left bundle brunch block and with typical chest pain suggestive for acute coronary sendrome and should be con- sidered for immediate coronary angiography.
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Key Findings & Data:Hence additional evaluating modified scarbossa criterias may increase both specificity and sensitivity of ST elevational miyocard infarctus diagnosis.
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Conclusion & Impact:This review aim at contribute to clinicians decision in ST eleva- tional miyocard infarctus presenting with left bundle brunch block ecg.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Patients detected new left bundle brunch block and with typical chest pain suggestive for acute coronary sendrome and should be con- sidered for immediate coronary angiography. Moreover patients previously known old left bundle brunch block electrocardiography and typical chest pain should be assesed for ST elevational miyocard infarctus. It is considerably challenging to diagnos ST elevational miy- ocard infarctus in patients presenting with eft bundle brunch block ecg. However scarbossa criterias developed to minimize difficulties and simplify diagnosing ST elevational miyocard infarctus. However scarbossa criterias might be insufficient, particularly not enough sensitive to diagnose ST elevational miyocard infarctus. Hence additional evaluating modified scarbossa criterias may increase both specificity and sensitivity of ST elevational miyocard infarctus diagnosis. This review aim at contribute to clinicians decision in ST eleva- tional miyocard infarctus presenting with left bundle brunch block ecg.

Özet

Tipik göğüs ağrısı olan yeni sol dal bloklu hastalarda koroner anjiyografi hemen yapılmalıdır. Ayrıca tipik göğüs ağrısı olan önceden sol dal bloğu olan hastalar, ST elevasyonlu miyokard enfarktüsü için değerlendirilmelidir. Sol dal bloğu olan hastalarda ST elevasyonlu mi- yokard enfarktüsü tanısını koymak oldukça zordur. Ancak Sgarbossa kriterleri bu zorluğu azaltmakta ve ST elevasyonlu miyokard en- farktüsü tanısını basitleştirmektedir. Ancak ST elevasyonlu miyokard enfarktüsü tanısında Sgarbossa kriterleri özellikle sensitivitenin az olması yönüyle yetersiz olabilmektedir. Dolayısı ile ilave olarak modifiye Sgarbossa kriterlerini değerlendirmek, ST elevasyonlu miyokard enfarktüsü tanısındaki özgüllüğü ve duyarlılığı artırmaktadır. Bu derleme sol dal bloğu olan hastalarda, ST elevasyonlu miyokard en- farktüsü tanısında klinisyenlerin kararına katkıda bulunmayı amaçlamaktadır.

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Cite This Article

DEĞİRMENCİ, H., COŞKUN, R. (2018). Current Approach to Myocardial Infarction in Left Bundle Branch Block. MN Kardiyoloji, Cilt: 25 - Sayı: 3, 149–153. https://ajindex.com/articles/297337

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