内外侧心肌梗死的非典型阿斯朗格模式--一种值得关注的新变异？

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of electrocardiology Pub Date : 2024-08-30 DOI:10.1016/j.jelectrocard.2024.153786

Ashok Victor, Nageshwaran P.M., Tamilselvan K., Nihal Sheriff

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引用次数: 0

摘要

我们报告了一例 53 岁男性下外侧心肌梗死患者的心电图（ECG），患者表现为非典型阿斯朗格模式。心电图显示 III、aVR、aVF 和后导联 ST 段抬高，II 和 V2-V6 导联 ST 段压低，T 波终末呈阳性。冠状动脉造影显示左侧环状动脉（LCx）完全闭塞，左前降支（LAD）和右冠状动脉（RCA）明显狭窄。LCx 成功进行了血管再通。本病例强调了识别非典型 Aslanger 模式的重要性，因为这可能预示着多支冠状动脉疾病。

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Atypical Aslanger pattern in inferolateral myocardial infarction – A new variant to look out for?

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.

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来源期刊

Journal of electrocardiology 医学-心血管系统

CiteScore

2.70

自引率

7.70%

发文量

152

审稿时长

38 days

期刊介绍： The Journal of Electrocardiology is devoted exclusively to clinical and experimental studies of the electrical activities of the heart. It seeks to contribute significantly to the accuracy of diagnosis and prognosis and the effective treatment, prevention, or delay of heart disease. Editorial contents include electrocardiography, vectorcardiography, arrhythmias, membrane action potential, cardiac pacing, monitoring defibrillation, instrumentation, drug effects, and computer applications.