respect de la discordance
| 15:16 Jun 25, 2018 |
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| French to English translations [PRO] Medical - Medical: Cardiology / hospitalisation file - ECG on admission | |||||||
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36 mins peer agreement (net): +1 |
| Reference: see Reference information: www.e-cardiogram.com/ecg-lexique_theme.php?id_th=7&id... 1. Translate this page La description de ces atypies, appelées critères de Sgarbossa, repose sur le non respect de la discordance appropriée qui s'applique en cas de QRS larges [3]. https://www.ems1.com/ems-products/Medical-Monitoring/article... In 1996, Dr. Elena Sgarbossa's developed criteria for recognizing ischemia in the presence of LBBB. That criteria is now widely accepted in clinical practice, and may yield valuable clues allowing the astute clinician to call for timely activation of the cath lab. Sgarbossa's Criteria, in simplest terms, rely on the presence of inappropriate concordance or excessive discordance. Normally, in LBBB, we'd expect the J-point or ST segment to move in opposite direction of the QRS complex. In other words, in those leads where the QRS complex is normally a positive deflection, the J-point and ST-segment should be slightly below the isoelectric line, and in those leads where the QRS is negative (primarily V1-V3), the J-point and ST-segment should rise slightly above the isoelectric line. This is known as discordance, and a small amount of discordance is appropriate and expected in LBBB, as demonstrated in the illustration below: |
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