NHÂN MỘT TRƯỜNG HỢP NHỒI MÁU CƠ TIM CẤP CÓ ECG DẠNG ASLANGER TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC THÀNH PHỐ HỒ CHÍ MINH

Abstract

Myocardial infarction with Aslanger’s pattern is a new electrocardiogram sign which is equivalent to STEMI, “equivalent” means that the patient has acute coronary obstruction and needs reperfusion therapy as soon as possible. Identifying subtle signs of STEMI-equivalent forms is not easy; missing diagnosis or delay in intervention lead to adverse outcomes for the patient, increasing mortality. We would like to present a case of acute ST elevation myocardial infarction with Aslanger’s pattern in University Medical Center in Ho Chi Minh city. The patient was hospitalized for shortness of breath at a local hospital, which is diagnosed with NSTEMI and transferred to our hospital. When the patient was admitted to our Emergency Department, the ECG showed signs of Aslanger’s pattern, a form of STEMI equivalent. After consulting with an interventional cardiologist, the patient was transferred to the DSA room for coronary intervention. Coronary angiography image showed 3-vessel coronary artery disease, the culprit lesion was RCA. The patient was received stent intervention and then transferred to the intensive care unit for treatment. After being hospitalized for 4 days, the patient’s shortness of breath had gone and could function normally on her own, and was discharged with a follow-up appointment 1 week later.