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.
Keyphrases
- coronary artery
- coronary artery disease
- heart failure
- percutaneous coronary intervention
- left ventricular
- heart rate
- heart rate variability
- coronary artery bypass grafting
- pulmonary artery
- depressive symptoms
- st segment elevation myocardial infarction
- single cell
- st elevation myocardial infarction
- case report
- cardiovascular events
- cardiovascular disease
- sleep quality
- blood pressure
- physical activity
- transcatheter aortic valve replacement