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Updated: May 5, 2026

Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
[Electrocardiogram for diagnosing myocardial infarction in patients with left bundle branch block or a pacemaker]
Arnaud Naville1, Arnaud Perrier
1Service de médecine interne générale, HUG, 1211 Genève 14. arnaud.naville@hcuge.ch
Abstract:
Effective management of myocardial infarction with ST segment elevation depends on rapid diagnosis. The presence of a left bundle branch block or of an electrically driven rhythm limits the interpretation of the initial electrocardiogram, potentially causing damaging delays. The Sgarbossa's score is well fit for those situations allowing when positive to opt for an immediate reperfusion strategy. However, its low sensitivity requires that it be combined with other diagnostic tools when negative.
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