Aslanger’s Pattern and the Limits of Traditional STEMI Criteria

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu

HPI

A 76-year-old man presents to the emergency department with shortness of breath, severe weakness, diaphoresis, and confusion. The following ECG is obtained on arrival:

Before watching this week’s workout, carefully review the ECG and consider the following:

    1. Do you see ST segment elevation in 2 contiguous leads consistent with STEMI?
    2. What are the current criteria for acute reperfusion therapy of STEMI/equivalent patterns?
    3. Would you activate the cath lab?