BUNDLE
Comprehensive Theory + 30+ High-Yield MCQs
Professional Edition 2026
Study Objectives:
• Master ECG Interpretation and MI Localization.
• Differentiate Valvular Murmurs with clinical precision.
• Understand Heart Failure Management and Mortality-reducing drugs.
• Practice with 30+ exam-style Multiple Choice Questions.
This document is optimized for medical students preparing for final university exams and
international licensing exams (USMLE, SMLE, PLAB).
, I. Myocardial Infarction & ECG Localization
Ischemic heart disease is a cornerstone of cardiology exams. Focus on ST-segment
elevation patterns.
ECG Leads Wall Involved Vessel Occluded
V1 - V2 Septal LAD (Septal branches)
V3 - V4 Anterior LAD (Main)
V1 - V4 Antero-septal LAD
V5, V6, I, aVL Lateral LCX
II, III, aVF Inferior RCA (85%) or LCX (15%)
V7 - V9 Posterior PDA (usually from RCA)
Clinical Pearl: If you see Inferior MI (II, III, aVF), always check for Right Ventricular
Infarction (Lead V4R). Avoid Nitrates in these patients to prevent severe
hypotension.