Am Heart J December 2015 PMID 26678648

Validation of the modified Sgarbossa criteria for acute coronary occlusion in the setting of left bundle branch block: A retrospective case-control study.

H Pendell Meyers, Alexander T Limkakeng, Elias J Jaffa, Anjni Patel, B Jason Theiling, Salim R Rezaie, Todd Stewart, Cassandra Zhuang, Vijaya K Pera, Stephen W Smith

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Mentions

19
Peak: 4 in Jan 2023
across 4 sources since Jun 2019

Extended reach

53,312
potential audience

Total likes

148

Video views

15,860

Mentions per month

Jun 2019 – Mar 2023

Where it's discussed

  • X / Twitter8 posts
  • Blogs6 articles
  • News3 articles
  • YouTube2 videos

AI synopsis

What people are saying

Several contributions praise the improved sensitivity of the Smith criteria, with comments like 'Ad+ improves the sensitivity up to 80%' and discussions about how having just one criterion is now sufficient. The tone reflects curiosity and recognition of the clinical significance, but mostly within a professional context that limits the perceived broad impact.

AgreementModerate agreement

Most discussions affirm the study’s findings, emphasizing that the modified Sgarbossa criteria improve detection accuracy.

InterestHigh interest

Posts show high interest, with some mentioning the clinical importance of understanding these revised criteria and their practical implications.

EngagementModerate engagement

Participants actively discuss specific aspects of the study, such as the criteria’s sensitivity and specificity, indicating thoughtful engagement.

ImpactModerate impact

While some posts recognize the potential influence on emergency medicine and ECG interpretation, the overall perceived impact appears moderate, mainly relevant to clinicians and researchers.

Abstract in brief

  • The study validated the modified Sgarbossa criteria, which replaced the third criterion with a proportional measure of ST elevation, showing improved sensitivity for detecting acute coronary occlusion (ACO) in patients with left bundle branch block (LBBB).
  • Conducted across multiple emergency departments, the retrospective study involved reviewing patient charts, measuring specific ECG features, and confirming ACO through angiographic and biomarker data, with the new criteria demonstrating significantly higher sensitivity (80%) compared to older criteria.
  • While the specificity of the modified criteria was comparable to the original weighted criteria, it was higher than the original unweighted criteria, indicating that the modified approach is more effective in correctly identifying true cases of ACO without increasing false positives.

Top posts

Most liked on X and Bluesky
Diego Segura-Rodríguez
@SeguraCardio · X

A diferencia de #Sgarbossa original, en los Criterios Smith: Tener 1 de los 3 criterios es suficiente. Ad+ mejora la sensibilidad hasta un 80%, manteniendo especifidad del 99% (cohorte de validación externa https://t.co/o21UO3g2w6) https://t.co/rEdfsy1ChX

Jan 5, 2023 · 16 likes · 2 shares · 25,999 followers View post →
SACardiología
@SACardiologia · X

Bibliografía: https://t.co/uCcX54Edoe https://t.co/E3Kq3Hdoxi https://t.co/NmnNlfuHDd https://t.co/D6TGDk1xV8

Jan 18, 2023 · 3 likes · 5,091 followers View post →
Jorik Sweenen
@JSweenen · X

@Basalus @RobertHermanMD @trimmer02 @ecgrhythms @DidlakeDW @EM_RESUS @StephenRahm @The_Nanashi_O @DocNikko @smithECGBlog @PendellM @DrRajeshG1 @DrRazi4 https://t.co/OQto05RtV6

Mar 8, 2023 · 1 like · 1 share · 551 followers View post →
Garrett Pacheco
@pacheco_garrett · X

What’s Pacheco Reading? The Smith Modified Scarbossa criteria. This came up on shift and I realized I did not know this as well as I should. Great article demonstrating improved sensitivity and really laying out the important definitions. https://t.co/gxjQUpNzfO

Jan 14, 2021 · 1 like · 124 followers View post →
Mounir Basalus (Ⲃⲁⲥⲓⲗⲓⲟⲥ)
@Basalus · X

RT @JSweenen: @Basalus @RobertHermanMD @trimmer02 @ecgrhythms @DidlakeDW @EM_RESUS @StephenRahm @The_Nanashi_O @DocNikko @smithECGBlog @Pen…

Mar 8, 2023 · 1 share · 4,966 followers View post →
Walter Waganka
@medstarinc · X

How to find STEMI in Paced Rhythm (feat. Dr Sgarbossa) https://t.co/NXg7lXivY6 via @YouTube

Jun 26, 2019 · 457 followers View post →

All mentions

Mounir Basalus (Ⲃⲁⲥⲓⲗⲓⲟⲥ)
@Basalus · X

RT @JSweenen: @Basalus @RobertHermanMD @trimmer02 @ecgrhythms @DidlakeDW @EM_RESUS @StephenRahm @The_Nanashi_O @DocNikko @smithECGBlog @Pen…

Mar 8, 2023 · 1 share · 4,966 followers View post →
Jorik Sweenen
@JSweenen · X

@Basalus @RobertHermanMD @trimmer02 @ecgrhythms @DidlakeDW @EM_RESUS @StephenRahm @The_Nanashi_O @DocNikko @smithECGBlog @PendellM @DrRajeshG1 @DrRazi4 https://t.co/OQto05RtV6

Mar 8, 2023 · 1 like · 1 share · 551 followers View post →
Aprendiz1976
@Aprendiz19761 · X

RT @SeguraCardio: A diferencia de #Sgarbossa original, en los Criterios Smith: Tener 1 de los 3 criterios es suficiente. Ad+ mejora la sens…

Jan 23, 2023 · 2 shares · 46 followers View post →
Doku- Zñ
@Docuviere · X

RT @SeguraCardio: A diferencia de #Sgarbossa original, en los Criterios Smith: Tener 1 de los 3 criterios es suficiente. Ad+ mejora la sens…

Jan 23, 2023 · 2 shares · 203 followers View post →
SACardiología
@SACardiologia · X

Bibliografía: https://t.co/uCcX54Edoe https://t.co/E3Kq3Hdoxi https://t.co/NmnNlfuHDd https://t.co/D6TGDk1xV8

Jan 18, 2023 · 3 likes · 5,091 followers View post →
Diego Segura-Rodríguez
@SeguraCardio · X

A diferencia de #Sgarbossa original, en los Criterios Smith: Tener 1 de los 3 criterios es suficiente. Ad+ mejora la sensibilidad hasta un 80%, manteniendo especifidad del 99% (cohorte de validación externa https://t.co/o21UO3g2w6) https://t.co/rEdfsy1ChX

Jan 5, 2023 · 16 likes · 2 shares · 25,999 followers View post →
Garrett Pacheco
@pacheco_garrett · X

What’s Pacheco Reading? The Smith Modified Scarbossa criteria. This came up on shift and I realized I did not know this as well as I should. Great article demonstrating improved sensitivity and really laying out the important definitions. https://t.co/gxjQUpNzfO

Jan 14, 2021 · 1 like · 124 followers View post →
Walter Waganka
@medstarinc · X

How to find STEMI in Paced Rhythm (feat. Dr Sgarbossa) https://t.co/NXg7lXivY6 via @YouTube

Jun 26, 2019 · 457 followers View post →