Victor Ashok, P M Nageshwaran, K Tamilselvan, Sheriff Nihal
Institute of Cardiology, Madras Medical College, Chennai 600 003, India.
Institute of Cardiology, Madras Medical College, Chennai 600 003, India.
J Electrocardiol. 2024 Nov-Dec;87:153786. doi: 10.1016/j.jelectrocard.2024.153786. Epub 2024 Aug 30.
We report a case of a 53-year-old male with inferolateral myocardial infarction, presenting an atypical Aslanger pattern on electrocardiogram (ECG). The ECG showed ST elevation in leads III, aVR, aVF, and posterior leads, with ST depression in II and V2-V6 with terminal positive T waves. Coronary angiography revealed total occlusion of the left circumflex artery (LCx) with significant stenosis of the left anterior descending (LAD) and right coronary artery (RCA). The LCx was successfully revascularized. This case highlights the importance of recognizing atypical Aslanger patterns, which may indicate multivessel coronary artery disease.
我们报告一例53岁男性下侧壁心肌梗死患者，其心电图（ECG）呈现非典型的Aslanger模式。心电图显示Ⅲ、aVR、aVF导联及后壁导联ST段抬高，Ⅱ导联及V2-V6导联ST段压低伴T波终末正向。冠状动脉造影显示左旋支动脉（LCx）完全闭塞，左前降支（LAD）和右冠状动脉（RCA）严重狭窄。LCx成功实现血运重建。该病例突出了识别非典型Aslanger模式的重要性，这可能提示多支冠状动脉疾病。
