Which diagnostic tool is most commonly used to determine the location of the myocardial damage?

  1. electrocardiogram (ECG)
  2. echocardiogram
  3. cardiac enzymes
  4. cardiac catheterization
Number 1 is correct.
Rationale: The ECG is most commonly used to initially determine the location of myocardial damage. An echocardiogram is used to view myocardial wall function after an MI has been diagnosed. Cardiac enzymes will aid in diagnosing an MI but not the location. While not performed initially, cardiac catheterization determines coronary artery disease and would suggest the location of myocardial damage.