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Clinical advantages (coat.) <br />Age and gender based STEMI thresholds <br />• Age and gender affect normal STJ levels <br />• Older men require less STJ elevation than younger men <br />for STEMI <br />• Women require less STJ elevation than men for STEMI <br />• The AHA-recommended STEMI thresholds are based on age <br />and gender data from University of Glasgow researchg�va <br />J point measurement for STEMI threshold <br />• The Glasgow program follows the AHA/ACCF/HRS <br />recommendations for STJ measurement at the J point <br />for STEMI111" <br />• Measuring after the J point can result in overestimation of the <br />true J point measurement for STEMI <br />0.2mV (2 mm) <br />overeslicmaterl <br />ST elevation <br />J point <br />i <br />Sgarbossa criteria for STEMI analysis in left bundle <br />branch block (LBBB) <br />• LBBB can increase the risk of a false negative <br />STEMI interpretation <br />• LBBB is also a "STEMI imposter" and increases the risk of <br />false positive STEMI interpretation <br />• The Glasgow program uses Sgarbossa criteria to Book for <br />STEMI when the patient has a LBBB'1' <br />12-lead ECG interpretive program comparison <br />12-lead ECG interpretive algorithm <br />Pediatric interpretation _. ..._. <br />LBBB criteria for STEMI <br />ST measurement taken at the J point <br />Published results fromtestingwith <br />prehospital EGGS <br />Adult and pediatric interpretive analysis <br />• Infrequent use of pediatric 12deads makes pediatric interpretive <br />analysis clinically valuable <br />• The Glasgow program can be used for patients of any age <br />down to newborns13 <br />• EGG criteria for neonates, infants and children <br />— Age -dependent bradycardia and tachycardia limits <br />— Age -dependent conduction defect limits <br />— Age -dependent right ventrucuiar hypertrophy <br />— Age -dependent ST depression thresholds <br />Brugada staternent <br />• Brugada syndrome is an inherited genetic defect that <br />increases risk for spontaneous VT/VF <br />• It occurs in approximately 1 in 2,000 patients <br />• A distinct coved -type ST elevation occurs in the right <br />precord'ial leads <br />• It is also a "STEMI imposter" and Increases the risk of false <br />positive STEMI interpretation <br />• The Glasgow program uses Brugada pattern criteria <br />according to the Second Consensus Conference on the <br />Brugada Sy ndromea,,a <br />Glasgow v27.0 Inovise 121.. v1.00 DXL vPi-1100B <br />Yes No Yes <br />Yes No Yes <br />Yes No Yes <br />4 studies 1 study No <br />