Interpretation of Aslanger's sign in acute inferior wall myocardial infarction

ZHANG Yuhang; ZHANG Chunanhai

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Interpretation of Aslanger's sign in acute inferior wall myocardial infarction

Special Feature | 更新时间：2026-03-30

- Interpretation of Aslanger's sign in acute inferior wall myocardial infarction
- J Clin Electrocardiol Vol. 35, Issue 1, Pages: 19-21(2026)
- 作者机构：
  
  1.075000 河北张家口，河北北方学院中医学院（张宇航）
  2.121001 辽宁锦州，锦州医科大学附属第一医院心内科（张川海）
- 作者简介：
- 基金信息：
- DOI：
  CLC： R541.7　R540.4+1
- Received：22 January 2026，
  
  Accepted：29 January 2026，
  
  Published：28 February 2026
- 稿件说明：
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张宇航, 张川海. 解读急性下壁心肌梗死的Aslanger征[J]. 临床心电学杂志, 2026, 35(1): 19-21.

ZHANG Yuhang,ZHANG Chunanhai.Interpretation of Aslanger's sign in acute inferior wall myocardial infarction[J].J Clin Electrocardiol,2026,35(01):19-21.
张宇航, 张川海. 解读急性下壁心肌梗死的Aslanger征[J]. 临床心电学杂志, 2026, 35(1): 19-21. DOI：

ZHANG Yuhang,ZHANG Chunanhai.Interpretation of Aslanger's sign in acute inferior wall myocardial infarction[J].J Clin Electrocardiol,2026,35(01):19-21. DOI：

摘要

根据国际指南，急性ST段抬高型心肌梗死的诊断和定位必须满足解剖相邻的至少2个导联中出现ST段抬高。2020年，Aslanger等提出了一种新的诊断急性下壁心肌梗死的心电图标准，该诊断标准中下壁导联里仅有Ⅲ导联出现ST段抬高，这种心电图表现模式被命名为Aslanger征。笔者通过回顾相关文献并结合自己的临床实践，建议将Aslanger征诊断标准修订简化为：①Ⅲ和aVR导联任何程度的ST段抬高，Ⅱ和aVF导联无ST段抬高；②V

导联ST段高于V

导联，V

导联ST段压低。

Abstract

According to the international guidelines

ST-segment elevation must be observed in 2 contiguous leads of an individual localization group for the diagnosis and localization of acute ST-segment elevation myocardial infarction. In 2020

Aslanger et al. proposed a new electrocardiographic criterion for diagnosing acute inferior myocardial infarction

where ST-segment elevation is observed only in lead Ⅲ in this diagnostic standard. This electrocardiographic pattern is termed the Aslanger Pattern. Through reviewing relevant literature and combining clinical practice

we suggest revising and simplifying the diagnostic criteria for the Aslanger Pattern as follows: ①ST-segment elevation of any degree in leads Ⅲ and aVR

with no ST-segment elevation in leads Ⅱ and aVF; ②ST-segment elevation in lead V

higher than in lead V

accompanied by ST-segment depression in leads V

关键词

Keywords

references

ASLANGER E , YıLDıRıMTÜRK Ö , ŞIMŞEK B , et al . A new electrocardiographic pattern indicating inferior myocardial infarction [J ] . J Electrocardiol , 2020 , 61 : 41 - 46 .

ZHANG C H , XU Z L . Where is the culprit lesion in the new electrocardiogram pattern? [J ] . JAMA Intern Med , 2022 , 182 ( 5 ): 547 - 548 .

ASLANGER E K , SMITH S W . Response to: "A new electrocardiographic pattern indicating inferior myocardial infarction" [J ] . J Electrocardiol , 2022 , 73 : 148 - 149 .

TURGAY YILDIRIM Ö , ÇANAKÇı M E . The new ECG pattern for inferior myocardial infarction [J ] . J Electrocardiol , 2020 , 63: 64..

ZHAI H L , ZHAI G . Where is the culprit lesion in the new electrocardiogram pattern? [J ] . JAMA Intern Med , 2022 , 182 ( 9 ): 1009 - 1010 .

ZHU H , ZHANG C H , XU Z . Where is the culprit lesion in the new electrocardiogram pattern?-Reply [J ] . JAMA Intern Med , 2022 , 182 ( 9 ): 1010 .

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