Key result
Aslanger ECG pattern reveals complete LCx occlusion and multivessel CAD successfully treated with PCI.
Case Report (n=1)
No
The Aslanger ECG pattern is a critical marker of acute coronary occlusion and multivessel disease that should be recognized and managed as a STEMI to avoid delayed reperfusion.
May prompt urgent angiography for Aslanger pattern; leaves open prospective validation before practice change.
Patients with Aslanger pattern are characterized by a more conspicuous incidence of multivessel coronary artery disease, a more remarkable probability of chronic complete occlusion, and a more alarming rate of hospitalization. Owing to the insufficient understanding of electrocardiographic characteristics of Aslanger pattern by a multitude of clinicians, it is commonly undetected or misdiagnosed as reversible inferior myocardial ischemia, which gives rise to prolonged reperfusion time. The electrocardiographic characteristics of Aslanger pattern cannot be stereotyped. Aslanger pattern typically indicates a higher likelihood of multivessel disease and a prevalent occurrence of acute coronary occlusion, with electrocardiographic changes being complex in such cases of multivessel disease. Aslanger pattern must be managed in accordance with ST elevation myocardial infarction. Both emergency interventional therapy and coronary artery bypass grafting are appropriate.
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Zhixiong Zhong (2025) conducted a case report in Aslanger pattern, acute coronary syndrome (n=1). Percutaneous coronary intervention (PCI) was evaluated. A 59-year-old male presenting with the Aslanger ECG pattern was found to have multivessel coronary artery disease with complete occlusion of the left circumflex artery, successfully treated with PCI.
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