Atypical Aslanger pattern in inferolateral myocardial infarction – A new variant to look out for?

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 an...

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Bibliographic Details
Published inJournal of electrocardiology Vol. 87; p. 153786
Main Authors Victor, Ashok, P.M., Nageshwaran, K., Tamilselvan, Sheriff, Nihal
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2024
Subjects
Aslanger pattern
Inferior myocardial infarction
Inferior myocardial infarction
Aslanger pattern
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Summary: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.
Bibliography:ObjectType-Article-1
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ISSN:0022-0736
1532-8430
1532-8430
DOI:10.1016/j.jelectrocard.2024.153786