Zhong Zhixiong
Shaoguan First People's Hospital, Guangdong Province, China.
J Int Med Res. 2025 Mar;53(3):3000605251327380. doi: 10.1177/03000605251327380. Epub 2025 Mar 28.
Patients with Aslanger pattern are characterized by a more conspicuous incidence of multivessel coronary artery disease, a more remarkable probability of chronic complete occlusion, and a more alarming rate of hospitalization. Owing to the insufficient understanding of electrocardiographic characteristics of Aslanger pattern by a multitude of clinicians, it is commonly undetected or misdiagnosed as reversible inferior myocardial ischemia, which gives rise to prolonged reperfusion time. The electrocardiographic characteristics of Aslanger pattern cannot be stereotyped. Aslanger pattern typically indicates a higher likelihood of multivessel disease and a prevalent occurrence of acute coronary occlusion, with electrocardiographic changes being complex in such cases of multivessel disease. Aslanger pattern must be managed in accordance with ST elevation myocardial infarction. Both emergency interventional therapy and coronary artery bypass grafting are appropriate.
阿斯朗格型患者的特点是多支冠状动脉疾病的发生率更高、慢性完全闭塞的可能性更大以及住院率更高。由于众多临床医生对阿斯朗格型心电图特征的认识不足，这种情况通常未被发现或被误诊为可逆性下壁心肌缺血，从而导致再灌注时间延长。阿斯朗格型的心电图特征并非一成不变。阿斯朗格型通常表明多支血管疾病的可能性更高以及急性冠状动脉闭塞普遍存在，在这种多支血管疾病的情况下心电图变化较为复杂。阿斯朗格型必须按照ST段抬高型心肌梗死进行处理。急诊介入治疗和冠状动脉旁路移植术都是合适的。
