Aslanger patterncardiac arrestcircumflex occlusionCoronary Artery Bypass (CABG) surgerysubendocardial ischemiaVentricular Fibrillation10 Min Read Steve SmithonJune 19, 2026 50-something with VF arrest – why is there diffuse ST depression with ST Elevation in lead III? A 50-something male with no past history had onset of chest pain followed by arrest. After multiple shocks, he was resuscitated. He went into…
Aslanger patternDiffuse ST Depressiondiffuse subendocardial ischemiaechocardiogram6 Min Read Steve SmithonNovember 22, 2023 Infection and DKA, then sudden dyspnea with chest pain while in the ED A 63 year old male with PMH of CAD and peripheral vascular disease from type I DM presented to clinic and was found to have a very high blood…
Aslanger patternAtypical SymptomsSTE in single leadsubendocardial ischemia2 Min Read Steve SmithonAugust 10, 2021 Why do we liberally record ECGs? And what do you think the angiogram showed? A 40 something complained of 1 week of constipation and eructation after a “bad batch of enchiladas.” He stated all of this…
Aslanger patternCT scanEcho-Bedside-False-NegativeEcho-formal-false negative5 Min Read Steve SmithonJanuary 4, 2021 ECG with Aslanger’s Pattern. CT Pulmonary Angiogram Reveals LAD Ischemia (Septal Transmural). But this is not Contradictory. A 52 y.o. male presented with persistent central chest pressure, without radiation, SOB or diaphoresis, which began at rest approximately one…
3-Vessel diseaseAslanger patternaVROcclusion with less than 1mm ST Elevationposterior STEMIsubendocardial ischemiasubtle3 Min Read Steve SmithonApril 2, 2014 A Non STEMI that needs the cath lab now. A male in his 60’s called 911 for chest pain. He had some cardiac risk factors including hypertension, on meds, but no previous…