对比
Aslanger图形（下壁OMI合并多支血管病变） vs 典型ST段抬高型心肌梗死（透壁性）: 临床与心电图鉴别
基于MioAtlas 3D心脏模拟器模型的Aslanger图形（下壁OMI合并多支血管病变）与典型ST段抬高型心肌梗死（透壁性）横向对比。
按解剖生理分层与诊断参数列出的表现
| 层面 / 表现 | Aslanger图形（下壁OMI合并多支血管病变） | 典型ST段抬高型心肌梗死（透壁性） |
|---|---|---|
| 临床概要 |
伴有严重多支血管病变或合并LAD病变患者的急性下壁心肌梗死。心电图特征：1) ST段孤立性抬高局限于III导联（II或aVF导联无抬高）；2) V4-V6导联ST段压低伴T波直立；3) aVR导联ST段抬高；4) V1导联ST段高于V2导联（V1 > V2）。 |
典型的透壁性心外膜损伤模式，表现为ST段呈弓背向上抬高，并在相反导联伴对应性改变。 |
文献来源与参考文献
Aslanger图形（下壁OMI合并多支血管病变）
- Aslanger E, Yildirimturk O, Simsek B, et al. A new electrocardiographic pattern indicating inferior myocardial infarction . J Electrocardiol (2020) . PubMed: 32526537
- 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
- Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018) . Eur Heart J (2019) . DOI: 10.1093/eurheartj/ehy462
- 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
典型ST段抬高型心肌梗死（透壁性）
- 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
- Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018) . Eur Heart J (2019) . DOI: 10.1093/eurheartj/ehy462
- 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