Barcelona Criteria

emDocs

ECG pointers: The Barcelona Criteria

emDocs - October 13, 2021 - By Brannon Inman and Lloyd Tannenbaum

Reviewed by: Jamie Santistevan; Manpreet Singh; and Brit Long

Main ECG Pointers:

1. Both the Sgarbossa and Smith criteria are approved for use to diagnose AMI in LBBB
2. The Barcelona criteria are new (published in 2020)
3. Unique parts of the Barcelona criteria include applying concordant depression to all leads, and the application of excessive discordance to low voltage leads ≤ 6mm.
4. The Barcelona criteria have been derived and internally validated with promising results. However, it awaits external validation.
5. As always, when applying any clinical rules, always consider the patient’s pretest probability.