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 fnding associated with acute inferior myocardial infarction in cases of multivessel disease, enables the identifcation 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.

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Funding