Monday, March 21, 2016

Zones of MI, leads and ECG mnemonic

Hey!

Warning: This is an over simplified post. 
If you are the kind who has a tough time remembering changes in "which lead" correlates with the "where" the heart is injured, this post is for you xD

Elevation of ST segment indicates zone of injury, diagnosis is supported by reciprocal changes, ST segment depression in the leads facing the opposite wall.

For precordial leads, I use the "SAL" mnemonic.

V1 Septal
V2 Septal
V3 Anterior
V4 Anterior
V5 Lateral
V6 Lateral
To be more complete about the lateral wall involvement, I use the "SALLI" mnemonic.
L for aVL and I for lead I.
So for lateral wall MI: V5 , V6, aVL and lead I.

For inferior MI, I remember the word "INF" and the vertical lines in them:

II vertical lines in the letter "N"
III vertical lines in the word "IN"
The F in "inF" is for avF

So for inferior wall MI: II , III and aVF.

Inferior wall MI mnemonic
By the end of this post, you should be able to draw this cheat sheet yourself:



That's all!
Quote for the day: If you can not see yourself as a winner, you can not perform as a winner.
-IkaN

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20 comments:

  1. great thanks heaps! always forget this, now hopefuly i wont

    ReplyDelete
  2. Thanks a million Ikan, Nakeya!
    Plus, the quote written below made my day!

    ReplyDelete
    Replies
    1. You are most welcome, Mayank.

      I hope you perform like a winner today and everyday of your life! :D

      Delete
  3. I guess I'm struggling to understand what you mean by how the number of horizontal lines is getting you to II, and III. Do you mean vertical lines? "I" only has one vertical line, so how did you get II? Would you mind clarifying for me please?

    ReplyDelete
    Replies
    1. For inferior MI, I remember the word "INF" and the vertical lines in them:

      II vertical lines in the letter "N"
      III vertical lines in the word "IN"
      The F in "inF" is for avF

      So for inferior wall MI: II , III and aVF.

      Delete
    2. This is amazing!! Thank you so much !:)

      Delete
  4. Simply woow !! Thanks a lot superb ������

    ReplyDelete
  5. Wanted such a mnemonic.really helpful

    ReplyDelete
  6. Thanks A LOT! Really struggling with this topic

    ReplyDelete
  7. Still using this in 2023 to pass boards.... these articles have been a great help!

    ReplyDelete

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