Determining MI with LBBB

firemedic31075

Forum Probie
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I dont know how true this is but I heard there is a way to determine an MI and its location in the presence of a LBBB. I believe it was called the Garboza criteria but im not sure. Has anyone else heard of this? I tried to research it but havn't had any luck finding anything.
 

Ridryder911

EMS Guru
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Technically yes & no. BBB usually will alter the ST segment thus determining a STEMI is difficult to do accurately, however; with reciprocal T wave changes and contiguous elevation and chest pain, one should presume there is an AMI with adequate indications of the ECG and clinical findings.

R/r 911
 

mikeylikesit

Candy Striper
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I dont know how true this is but I heard there is a way to determine an MI and its location in the presence of a LBBB. I believe it was called the Garboza criteria but im not sure. Has anyone else heard of this? I tried to research it but havn't had any luck finding anything.
A lot of classes that i have attended making claim of that and stating that it can show exactly the site of the infarction. the only one who elaborated and went in depth like Rid was a cardiologist, he said that most people including him have difficulties in proving this.
 

fma08

Forum Asst. Chief
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cardiac markers?? :p (joke)
 
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