Localization of MI

Anatomic AreaECG Leads w/ STECoronary Artery
SeptalV1–V2 ± aVRProximal LAD
AnteriorV3–V4LAD
ApicalV5–V6Distal LAD, LCx, or RCA
LateralI, aVLLCx
InferiorII, III, aVF ± aVRRCA (~85%), LCx (~15%)
RVV1–V2 & V4R (most Se)Proximal RCA
PosteriorST depression V1–V3 (= STE V7–V9 posterior leads, ✓ if clinical suspicion)RCA or LCx