On a busy mid shift, you are handed this EKG for a 76 y/o pt presenting with known CAD complaining of chest pain. VS stable. What’s your interpretation and what’s your next step?
Aslanger – An Occlusive Myocardial Infarction Equivalent
13% of acute anterior myocardial infarctions
Found in 6.3% of NSTEMI
ECG Criteria: (must meet all criteria)
Isolated ST Elevations in lead III (not any other inferior leads)
ST Depressions in V4, V5 or V6
ST segment in V1 > V2
Next Step -> Call the STEMI phone!
References:
1. Liu M, Li H, Li A, et al. A patient with acute myocardial infarction with Electrocardiogram Aslanger’s pattern – BMC cardiovascular disorders. BioMed Central. January 2, 2024. Accessed January 8, 2025. https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-023-03678-x.
2. Buttner R, Cadogan M, Cadogan RB and M. Aslanger pattern: Another omi? Life in the Fast Lane • LITFL. January 28, 2021. Accessed January 8, 2025. https://litfl.com/aslanger-pattern/.
