Electrocardiographic Criteria for Detecting Acute Myocardial Infarction in Patients With Left Bundle Branch Block: A Meta-analysis Jeffrey A. Tabas,

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Presentation transcript:

Electrocardiographic Criteria for Detecting Acute Myocardial Infarction in Patients With Left Bundle Branch Block: A Meta-analysis Jeffrey A. Tabas, MD, Robert M. Rodriguez, MD, Hilary K. Seligman, MD, Nora F. Goldschlager, MD Annals of Emergency Medicine Volume 52, Issue 4, Pages 329-336.e1 (October 2008) DOI: 10.1016/j.annemergmed.2007.12.006 Copyright © 2008 American College of Emergency Physicians Terms and Conditions

Figure 1 Sgarbossa ECG algorithm score >=3: SROC curve. The full ROC curve is shown for clarity. The extrapolated portion (> 0.6 for sensitivity and > 0.1 for 1-specificity) should be viewed with caution. Annals of Emergency Medicine 2008 52, 329-336.e1DOI: (10.1016/j.annemergmed.2007.12.006) Copyright © 2008 American College of Emergency Physicians Terms and Conditions

Figure 2 Sgarbossa ECG algorithm score >=3: Forest plot of positive likelihood ratios. Annals of Emergency Medicine 2008 52, 329-336.e1DOI: (10.1016/j.annemergmed.2007.12.006) Copyright © 2008 American College of Emergency Physicians Terms and Conditions

Figure 3 Sgarbossa ECG algorithm score >=3: Forest plot of negative Likelihood ratios. Annals of Emergency Medicine 2008 52, 329-336.e1DOI: (10.1016/j.annemergmed.2007.12.006) Copyright © 2008 American College of Emergency Physicians Terms and Conditions

Figure 4 Flow diagram for approach to the patient with suspected acute myocardial infarction and left bundle branch block. LBBB, Left bundle branch block; PCI, percutaneous coronary intervention. Annals of Emergency Medicine 2008 52, 329-336.e1DOI: (10.1016/j.annemergmed.2007.12.006) Copyright © 2008 American College of Emergency Physicians Terms and Conditions