National Center for Competency Testing (NCCT) Medical Assistant Practice Test

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Study for the NCCT Medical Assistant Test. Enhance your skills with comprehensive questions and explanations. Prepare for your exam effectively!

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Which ECG lead is primarily used to diagnose anterior wall myocardial infarction?

  1. V5

  2. V1

  3. V4

  4. V3

The correct answer is: V4

The lead most commonly associated with diagnosing anterior wall myocardial infarction is V4. This is because V4 is placed over the left ventricle, specifically at the fifth intercostal space in the midclavicular line, which is crucial for detecting changes related to ischemia in the anterior wall of the heart. In the context of the electrocardiogram (ECG), the anterior leads (V3, V4, and V5) reflect electrical activity from the anterior part of the left ventricle. While V3 also provides information about the anterior wall, V4 is particularly significant as it is positioned perfectly to pick up any significant changes, such as ST elevations, which are indicative of an infarction in that area. Understanding the placement and the specific role of each lead is essential in correctly interpreting an ECG to diagnose various cardiac conditions, including myocardial infarctions. In this case, the emphasis on V4 highlights its primary role in monitoring the anterior wall, making it the most effective lead for this purpose.