#sgarbossa

[brandocorradini]

Lunn+Sgarbossa – brand identity

[itshockeynightinsouthflorida]

Rangers @ Panthers

March 7, 2017

Score: 2-5

Panthers Record: 29-25-10

Goals scored by new Panther Thomas Vanek (Assisted by Smith and Trocheck) and Aaron Ekblad (Assisted by Trocheck and Jokinen)

Sgarbossa got hurt towards the end of the 2nd period.

Cats left Reimer out to dry (reminder, Lu is out with injury), eventually pulling Reimer for Reto Berra.

Former Captain Olli Jokinen signed a one day contract to retire a Panther, sorry we couldn’t do you proud.

Panthers face a back to back Friday-Saturday

[m1male2]

By Antonio Sgarbossa 🎨

[m1male2]

By Antonio Sgarbossa 🎨

[embowowbox]

Very nice lecture from Dr. Smith: - benefit of thrombolytic in LBBB group as in previous study might resulted from confounding factor as some LBBB has MI or they didn't have MI so they would survive better anyway. -Modified Sgarbossa criteria could enhance sensitivity and specificity of detecting STEMI in LBBB. They modified the "excessive discordance"rule to be ratio ST/S wave more tham 0.2 instead of absolute increase in ST more than 5mm -However, this needs more prospective research on to confirm hypothesis.

[emrepository-blog]

Sgarbossa Criteria

Rule of appropriate discordance:

In LBBB with out STEMI the major terminal portion of QRS and initial upsloping portion of the ST/T segment should lie on opposite sides of isoelectric baseline = "discordance"

  Sgarbossa Criteria for MI in presence of LBBB

ST-segment elevation ≥1 mm concordant with (in the same direction as) a predominantly positive QRS complex in at least one lead. (5 pt.)

ST ↓ ≥ 1mm in leads V1, V2 or V3 (3 pt).

ST ↑ ≥ 5mm discordant  (in the opposite direction from) a predominantly negative QRS complex. (1 pt.)  This 3rd criteria has not been shown to be useful. 

Ref: Sgarbossa NEJM 334:8 481-7 Feb 1996