PMID- 38166569
OWN - NLM
STAT- MEDLINE
DCOM- 20240104
LR  - 20240109
IS  - 1471-2261 (Electronic)
IS  - 1471-2261 (Linking)
VI  - 24
IP  - 1
DP  - 2024 Jan 2
TI  - A patient with acute myocardial infarction with electrocardiogram Aslanger's 
      pattern.
PG  - 3
LID - 10.1186/s12872-023-03678-x [doi]
LID - 3
AB  - BACKGROUND: Aslanger's pattern in electrocardiogram (ECG) indicates that patients 
      may have acute inferior myocardial infarction(AMI) with concomitant critical 
      stenoses on other coronary arteries, which needs to be evaluated the timing of 
      revascularization as risk equivalents of ST elevation myocardial 
      infarction(STEMI). CASE PRESENTATION: The patient was a 62-year-old male with 
      chief complaint of intermittent exertional subxiphoid pain for 20 days from 30th 
      June. One day after the last episode (19th July), the 18-lead electrocardiogram 
      showed ST segment elevation of 0.05-0.1mV in lead III, ST segment depression in 
      leads I, avL, and V2-V6, T wave inversion with positive terminal vector in lead 
      V4-V5, and positive T wave in lead V6, which indicated Aslanger's pattern. With 
      increased Troponin I (0.162ng/mL, 0-0.02), The patient was diagnosed as acute 
      non-ST-segment elevation myocardial infarction (NSTEMI) and admitted to coronary 
      ward on 20th July. The coronary angiography showed 95% stenosis in the distal 
      left main coronary artery (LM) to the ostium of the left anterior descending 
      artery (LAD), 90% stenosis in the proximal segment of the LAD, and 80% stenosis 
      in the middle segment of the LAD, and TIMI blood flow was graded score 2. Three 
      drug-eluting stents were implanted at the lesions. The patient's ECG returned 
      close to normal one month after revascularization. CONCLUSION: We presented an 
      acute coronary syndrome case whose ECG showed with Aslanger's pattern (i.e., 
      isolated ST-segment elevation in lead III, associated ST-segment depression in 
      lead V4-V6 with positive T wave/terminal vector, and greater ST-segment elevation 
      in lead V1 than in lead V2), and was confirmed severe stenosis of the LM and the 
      proximal segment of the LAD via coronary angiography. In clinical practice, 
      especially in the emergency, patients with ECG presenting Aslanger's pattern 
      should be urgently evaluated with prompt treatment, and the timing of emergency 
      coronary angiography and revascularization should be evaluated to avoid adverse 
      outcomes caused by delayed treatment.
CI  - (c) 2023. The Author(s).
FAU - Liu, Ming-Hao
AU  - Liu MH
AD  - Coronary Heart Disease Center, Department of Cardiology, Fuwai Hospital, 
      CAMS&PUMC. No.167 North Lishi Road, Xicheng District, Beijing, China.
FAU - Li, Hao
AU  - Li H
AD  - People's Hospital of Bayingoleng Mongolian Autonomous Prefecture, No. 56, Renmin 
      East Road, Korla City, Bayingoleng Mongolian Autonomous Prefecture, Xinjiang 
      Uygur Autonomous Region, China.
FAU - Li, Ang
AU  - Li A
AD  - Interventional Catheterization Laboratory, Fuwai Hospital, CAMS&PUMC, No. 167 
      North Lishi Road, Xicheng District, Beijing, China.
FAU - Liu, Ru
AU  - Liu R
AD  - Coronary Heart Disease Center, Department of Cardiology, Fuwai Hospital, 
      CAMS&PUMC. No.167 North Lishi Road, Xicheng District, Beijing, China.
FAU - Liu, Hai-Bo
AU  - Liu HB
AD  - Coronary Heart Disease Center, Department of Cardiology, Fuwai Hospital, 
      CAMS&PUMC. No.167 North Lishi Road, Xicheng District, Beijing, China.
FAU - Gao, Li-Jian
AU  - Gao LJ
AD  - Coronary Heart Disease Center, Department of Cardiology, Fuwai Hospital, 
      CAMS&PUMC. No.167 North Lishi Road, Xicheng District, Beijing, China. 
      gljxra0104@126.com.
FAU - Gu, Qing
AU  - Gu Q
AD  - Department of Emergency, Fuwai Hospital, CAMS&PUMC, No. 167 North Lishi Road, 
      Xicheng District, Beijing, China.
FAU - Song, Lei
AU  - Song L
AD  - Coronary Heart Disease Center, Department of Cardiology, Fuwai Hospital, 
      CAMS&PUMC. No.167 North Lishi Road, Xicheng District, Beijing, China.
AD  - Interventional Catheterization Laboratory, Fuwai Hospital, CAMS&PUMC, No. 167 
      North Lishi Road, Xicheng District, Beijing, China.
LA  - eng
GR  - 2022-I2M-C&T-B-048/CAMS Innovation Fund for Medical Sciences (CIFMS)/
GR  - 2022-I2M-C&T-B-048/CAMS Innovation Fund for Medical Sciences (CIFMS)/
PT  - Case Reports
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20240102
PL  - England
TA  - BMC Cardiovasc Disord
JT  - BMC cardiovascular disorders
JID - 100968539
SB  - IM
MH  - Male
MH  - Humans
MH  - Middle Aged
MH  - Constriction, Pathologic
MH  - *Myocardial Infarction/complications/diagnosis/therapy
MH  - *Non-ST Elevated Myocardial Infarction/diagnostic imaging/etiology
MH  - Coronary Angiography
MH  - Electrocardiography
MH  - Arrhythmias, Cardiac
MH  - *ST Elevation Myocardial Infarction
PMC - PMC10763094
OTO - NOTNLM
OT  - Acute Myocardial Infarction
OT  - Aslanger's pattern
OT  - Critical coronary stenoses
OT  - Revascularization
OT  - ST-segment elevation
COIS- None. The authors declare no competing interests.
EDAT- 2024/01/03 09:43
MHDA- 2024/01/04 11:45
PMCR- 2024/01/02
CRDT- 2024/01/03 09:03
PHST- 2023/10/06 00:00 [received]
PHST- 2023/12/17 00:00 [accepted]
PHST- 2024/01/04 11:45 [medline]
PHST- 2024/01/03 09:43 [pubmed]
PHST- 2024/01/03 09:03 [entrez]
PHST- 2024/01/02 00:00 [pmc-release]
AID - 10.1186/s12872-023-03678-x [pii]
AID - 3678 [pii]
AID - 10.1186/s12872-023-03678-x [doi]
PST - epublish
SO  - BMC Cardiovasc Disord. 2024 Jan 2;24(1):3. doi: 10.1186/s12872-023-03678-x.