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Indian Journal of Emergency Medicine

Volume  11, Issue 2, April - June 2025, Pages 81-86
 

Case Report

Unveiling the Aslanger Pattern: A Lifesaving Key to Hidden Inferior Myocardial Infarctions

Ashish Nair1, Athira C.N.2, Ankita Nair3

1 Assistant Professor, Depatment of Critical Care Medicine, Bharti Vidyapeeth Hospital, Pune, Maharashtra, India. 2 Resident, Department of Anaesthesiology, Bharti Vidyapeeth Hospital, Pune, Maharashtra, India. 3 Resident, Department of Anaesthesiology, Bharti Vidyapeeth Hospital, Pune, Maharashtra, India.

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DOI: 10.21088/ijem.2395.311X.11225.1

Abstract

ST-elevation is a crucial electrocardiographic marker for diagnosing acute myocardial infarction. However, this criterion fails to identify over 25% of acute coronary occlusions, leading to delays in revascularization. This highlights the need to recognize the limitations of existing diagnostic criteria and develop new electrocardiographic markers. The Aslanger pattern, a distinct finding associated with acute inferior myocardial infarction in cases of multivessel disease, enables the identification of inferior myocardial infarctions without ST-elevation, facilitating prompt revascularization. Despite its diagnostic value, the hemodynamic aspects, such as shock incidence and the use of mechanical circulatory support, along with prognostic outcomes like in-hospital mortality, remain poorly understood in patients exhibiting the Aslanger pattern.
 


Keywords : • Aslanger pattern • Acute ST elevation myocardial infarction • Acute inferior myocardial infarction • Acute coronary occlusion • STEMI criteria • Non STEMI • ECG (elecetrocardiogram)
Corresponding Author : Athira C.N.,