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.
Keyphrases
- acute coronary syndrome
- acute myocardial infarction
- percutaneous coronary intervention
- public health
- clinical practice
- healthcare
- case report
- heart rate variability
- heart rate
- depressive symptoms
- heart failure
- early onset
- left ventricular
- blood pressure
- antiplatelet therapy
- coronary artery disease
- combination therapy
- replacement therapy
- drug induced
- emergency medical