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Updated: May 5, 2026

LAD-Ligation: A Murine Model of Myocardial Infarction
Published on: October 14, 2009
Atypical Aslanger pattern in inferolateral myocardial infarction - A new variant to look out for?
Ashok Victor1, Nageshwaran P M1, Tamilselvan K1
1Institute of Cardiology, Madras Medical College, Chennai 600 003, India.
Insights
An atypical Aslanger pattern on electrocardiogram (ECG) in myocardial infarction may signal multivessel coronary artery disease. Prompt recognition and intervention are crucial for effective treatment.
Area of Science:
- Cardiology
- Diagnostic Electrocardiography
Background:
- Myocardial infarction (MI) diagnosis relies heavily on electrocardiogram (ECG) findings.
- Atypical ECG patterns can complicate diagnosis and treatment planning.
Abstract:
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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