MioAtlas
Comparison

Aslanger Pattern (Inferior OMI with Multivessel Disease) vs Classic STEMI (Transmural): clinical and ECG differences

Side-by-side comparison of Aslanger Pattern (Inferior OMI with Multivessel Disease) and Classic STEMI (Transmural) according to the MioAtlas 3D cardiac simulator model.

Aslanger Pattern (Inferior OMI with Multivessel Disease)
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Classic STEMI (Transmural)
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Findings by layer and diagnostic parameters

Layer / Finding Aslanger Pattern (Inferior OMI with Multivessel Disease) Classic STEMI (Transmural)
Clinical summary

Acute inferior wall infarction in patients with severe multivessel disease or concomitant LAD lesion. ECG characteristics: 1) ST elevation isolated to lead III (without elevation in lead II or aVF); 2) ST depression in V4-V6 with positive T wave; 3) ST elevation in aVR; 4) ST in V1 higher than in V2 (V1 > V2).

Classic transmural epicardial injury pattern with upward convex ST-segment elevation and reciprocal changes in opposite leads.

Sources and bibliographic references

Aslanger Pattern (Inferior OMI with Multivessel Disease)

  1. Aslanger E, Yildirimturk O, Simsek B, et al. A new electrocardiographic pattern indicating inferior myocardial infarction . J Electrocardiol (2020) . PubMed: 32526537
  2. Wagner GS, Macfarlane P, Wellens H, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part VI: Acute ischemia/infarction . Circulation (2009) . DOI: 10.1161/CIRCULATIONAHA.108.191098
  3. Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018) . Eur Heart J (2019) . DOI: 10.1093/eurheartj/ehy462
  4. Rao SV, O'Donoghue ML, Ruel M, et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes . Circulation (2025) . DOI: 10.1161/CIR.0000000000001309 PubMed: 40014670

Classic STEMI (Transmural)

  1. Wagner GS, Macfarlane P, Wellens H, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part VI: Acute ischemia/infarction . Circulation (2009) . DOI: 10.1161/CIRCULATIONAHA.108.191098
  2. Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018) . Eur Heart J (2019) . DOI: 10.1093/eurheartj/ehy462
  3. Rao SV, O'Donoghue ML, Ruel M, et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes . Circulation (2025) . DOI: 10.1161/CIR.0000000000001309 PubMed: 40014670