Beyond the Veil of Pacing
Year: 2025
Type: article
Study design: Case Report
Abstract: BACKGROUND: The Sgarbossa criteria were designed to diagnose ST-segment elevation myocardial infarction in patients who are ventricularly paced or have left bundle branch block. CASE SUMMARY: We report the case of a 74-year-old man who presented with chest pain. The patient had an acute myocardial infarction per the Sgarbossa criteria, but diagnosis was delayed because of the presence of ventricular pacing. Because of this error, intervention was delayed, and the patient eventually developed cardiogenic shock. DISCUSSION: Even though the Sgarbossa criteria are well established, they are often overlooked, which may result in significant morbidity or mortality. This case emphasizes the importance of using the Sgarbossa criteria to evaluate patients in appropriate populations.
Source: JACC Case Reports
Authors: Meghan Stevenson, Naveed Younis
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $850
OpenAlex ID: W4407394352