Left Bundle Branch Block and Sgarbossa's Criteria

0:00 - Introduction
0:50 - Learning Objectives
1:44 - How to identify LBBB on the 12-lead ECG
16:06 - Rule of appropriate ST-segment and T-wave discordance
19:33 - STEMI and LBBB (Sgarbossa Criteria)
24:01 - Smith's modification to Sgarbossa's criteria
28:26 - Changes on serial 12-lead ECGs
29:20 - Wide complex tachycardias with LBBB morphology
#Electrocardiography #12LeadECG #ECGInterpretation #ACLS

[@MultiCII]

As a veteran emergency physician educator and medical illustrator this is an excellent presentation. Keep up the great work.

[@TomBouthillet]

Thank you, MultiCII! I appreciate the comment and encouragement.

[@ahmedhamma7455]

Thank you very informative watching from libya 🇱🇾 Medical ICU

[@Nohamostafa]

You videos are brilliant seriously I am a nephrologist but after these videos I think of shifting to cardiology

[@TomBouthillet]

I’m so glad my videos make you excited about cardiology! Thank you, Noha NR.

[@maritessmiller3482]

Your explanation it helps me to understand on how to determine BBB and SVT .

[@TomBouthillet]

Wonderful! That’s so important.

[@nikhilanish9864]

You are an amazing teacher

[@singkay3]

Great video! We rookies definitely need a lot of illustration and arrows. Please continue making videos. You make an excellent teacher :)

[@TomBouthillet]

Thank you, Jan Amoin! I'll keep making videos as long as I'm having fun!

[@traumajock]

This is great review. I retired seven years ago from a very busy system where we had many high acuity patients. I'm a supervisor now in a beach community with completely different demographics, kinder and gentler (I needed that!) We recently had a STEMI where Sgarbossa's criteria applied. I've been boning up on this and Brugada. I wonder how many I missed since we got 12 leads.

[@GotCPR]

Great video. I will need to watch it a few more times to improve my knowledge of LBBB.

[@TomBouthillet]

Thank you, GotCPR!

[@NuriaBarreras]

THANK YOU. EXCELLENT LECTURE !

[@dajatotu]

You are absolutely brilliant! Thank you.

[@michaeld.herbert6902]

Another fantastic video, Tom. I appreciate you diving into the background of the criteria. It gives people, especially like me, a story to hang on to, versus just memorizing rogue patterns. Plus it illustrates the limitations and the need for critical thinking. Well done, again!

[@TomBouthillet]

You're good for my self-esteem, Michael!

[@davidmarshalldrake]

Has an exercise physiologist doing EKGs in private practice this content is valuable. Thanks

[@DrSkawman]

I loved this lecture. Thanks Mr. Bouthillet.

[@irgendwasmitm8913]

Exactly what I needed.. Great video!

[@TomBouthillet]

Glad you enjoyed it!

[@JibrilIbrahim-np4qi]

Excellent video mate

[@giovannimeli6655]

Great job! Potentially hard concepts made easy. Really enjoyed your prez. Put a like and subscribed to your channel! Go on mate

[@TomBouthillet]

That's kind of you, Giovanni! Thank you for subscribing.

[@user-ej9us3cd9p]

Thank you so much!!!Your videos are really amazing!!!

[@TomBouthillet]

Thank you, Катерина!

[@dr.mukulkanojia]

Thanks a lot Tom From India 🙏🏻

[@TomBouthillet]

Thank you for watching, Dr. Mukul Kanojia!

[@dimahjar]

This is very great .. Thank you so much ..

[@TomBouthillet]

Thank you, dimahjar! I'm glad you liked it.

[@Never-the-same]

amazing video, keep going my bossman!

[@DuckDuckGo512]

great video

[@TomBouthillet]

Thanks, Robert!

[@leidianetatum8884]

Great video!!👍thanks

[@TomBouthillet]

Glad you liked it!

[@sabrineweirdo3708]

thank u for ur explanation

[@TomBouthillet]

My pleasure. Thanks for watching!

[@Egonzal316]

Awesome video, can you do a video correctly identifying VTach?

[@TomBouthillet]

That’s a great idea.

[@lucyhackett4436]

hey tom just wondering why you wouldn't expect to see an s wave in V1/ 1 in LBBB. Thanks:)

[@TomBouthillet]

You might very well see an S-wave in lead V1 (rS complex). However, a terminal S-wave in lead I would be consistent with RBBB morphology.

[@imasuperkoala]

Amazing video!!! What resources did you use for this video? Thanks! :)

[@TomBouthillet]

Can you be more specific? It’s just PowerPoint.

[@imasuperkoala]

@@TomBouthillet what textbooks? Thank you!

[@TomBouthillet]

@@imasuperkoala I didn't use any textbooks for the video, but I would recommend Chou's Electrocardiography in Clinical Practice as a reference text and Dr. Smith's ECG Blog for insights on identifying subtle signs of ischemia.

[@imasuperkoala]

@@TomBouthillet thank you so much for the informatiom! I will start my residency in Internal Medicine this year (hopefully) but my dream is to become a Cardiologist! These videos are so helpful!

[@TomBouthillet]

@@imasuperkoala I'm glad to hear it. Best of luck to you!