Does this EKG meet Sgarbossa criteria?

75 y/o male with history of a-fib presents with acute onset of substernal chest pressure 2 hours prior to arrival.   Does his EKG meet Sgarbossa criteria for the diagnosis of an acute MI in the presence of a LBBB?

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No.  While the ST segments do appear to be elevated in leads II, III and avF, to technically meet Scarbossa criteria, there must be ST segment elevation of 5 mm or more that is discordant with the QRS complex.  Of note, this ECG criteria has the weakest predictive value of all three Sgarbossa criteria.

The other Sgarbossa criteria - which have greater predictive values for detecting acute MI in the presence of LBBB - are: 

1. ST segment elevation of 1 mm or more that is in the same direction as the QRS complex in any lead 
2. ST segment depression of 1 mm or more in any lead from V1 to V3

Source 

Goldberger, A.  "Electrocardiographic diagnosis of myocardial infarction in the presence of bundle branch block or paced rhythm"  Up to Date.  May 2011.