1. New ST-elevation at the J point in at least 2 contiguous leads of：
(a) 2 mm (0.2 mV) in men in leads V2 –V3 ,or
(b) 1.5 mm (0.15 mV) in women in leads V2 –V3 ,and/or
(c) 1 mm (0.1mV) in other contiguous chest leads or the limb leads.
2. ST- depression in 2 precordial leads (V1 ~ V4 )
3. Multilead ST-depression with coexistent ST-elevation in lead aVR
4. Hyperacute T-wave changes (? 包含 de-Winter T-wave)
5. LBBB 要用Sgarbossa Criteria來定義 (new-LBBB但不符Sgarbossa Criteria不算)
(a) CONcordance STE > 1 mm 5-points
(b) STD > 1 mm in V1~V3 3-points
(c) DISCONcordance STE > 5 mm 2-points > 3-points的Sensitivity有98%
2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction
DOI: 10.1161/CIR.0b013e3182742cf6