ASLANGER
Technical documentation
Aslanger Pattern (Inferior OMI with Multivessel Disease)
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).
Also known as: Aslanger Pattern (Inferior OMI with Multivessel Disease) · patron de Aslanger · patrón de Aslanger · Aslanger · criterios de Aslanger · OMI inferior con enfermedad multivaso · Aslanger pattern · Aslanger inferior OMI
What parameters does the model use?
The following values are applied by the simulation engine to this entity. They govern activation kinematics in the 3D model and the real-time synthesis of the 12-lead electrocardiogram.
What parameters does the model use?
| Parameter | Model value |
|---|---|
| Occlusion severity | Total |
| Compatible territories | RCA_PROX, RCA_MID, RCA_DISTAL, LCX_PROX, LCX_DISTAL, PDA_PROX |
Frequently asked clinical questions
How is Aslanger Pattern (Inferior OMI with Multivessel Disease) identified on the 12-lead ECG?
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). The characteristic diagnostic waveforms are generated in real time across the simulated 12-lead tracing.
Which leads are critical for diagnostic confirmation?
The primary diagnostic leads are 12 derivaciones. Isolated ST elevation in lead III, ST depression in V4-V6 with upright T waves, and ST elevation in aVR. In the simulator, these channels highlight the correlation with anatomical vectors.
What is the underlying electrophysiological or anatomical mechanism?
It represents transmural ischemia secondary to occlusion in the territory of the culprit coronary artery.
How can this condition be explored in the 3D simulator?
MioAtlas offers direct deep-link reproducibility with preconfigured parameters, allowing full 3D cardiac rotation and lead vector inspection.
How do you open this configuration?
The simulator encodes its full state in the query string, providing a stable and reproducible URL:
https://mioatlas.com/simulador/en/?syn=SCACEST&ter=RCA_MID&phe=ASLANGER&add=1
Related entities
Other entities in the same category within the catalog:
Related clinical comparisons
Sources and bibliographic references
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Aslanger E, Yildirimturk O, Simsek B, et al. (2020). "A new electrocardiographic pattern indicating inferior myocardial infarction". J Electrocardiol.
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Wagner GS, Macfarlane P, Wellens H, et al. (2009). "AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part VI: Acute ischemia/infarction". Circulation.
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Thygesen K, Alpert JS, Jaffe AS, et al. (2019). "Fourth Universal Definition of Myocardial Infarction (2018)". Eur Heart J.
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Rao SV, O'Donoghue ML, Ruel M, et al. (2025). "2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes". Circulation.