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
- emergency department
- public health
- clinical practice
- healthcare
- heart rate
- heart rate variability
- depressive symptoms
- left ventricular
- blood pressure
- early onset
- physical activity
- coronary artery bypass grafting
- atrial fibrillation