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Everything You Should Know About Electrocardiogram (EKG/EKG) Test

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Everything You Should Know About Electrocardiogram (EKG/EKG) Test

Cardiology | by Dr. Ashok B Malpani | Published on 25/04/2023


Overview: What is Electrocardiogram (ECG)?

Electrocardiogram, commonly known as ECG or EKG, is a medical test used to assess the electrical activity of the heart. It records the electrical signals generated by the heart and displays them as a visual representation on a graph. ECG is a non-invasive and painless test that is routinely used by healthcare professionals to diagnose and monitor various cardiac conditions. This blog contains information about electrocardiogram and how it works. Please note that this blog is only for informational purposes and does not replace the significance of a doctor’s consultation.

How does Electrocardiogram (ECG) work?

ECG works by detecting the electrical impulses generated by the heart as it contracts and relaxes. It is a painless and non-invasive test that involves attaching small electrodes to the chest, arms, and legs. These electrodes are connected to an ECG machine that records the electrical signals generated by the heart.

The ECG machine records the electrical activity of the heart from different angles and displays it as a visual representation on a graph. The graph consists of several waves and segments that correspond to different events in the cardiac cycle.

When Is An Electrocardiogram Recommended By The Doctor?

An electrocardiogram (ECG) may be recommended by the doctor for various reasons. It is important to note that the decision to perform an ECG must be based on individual circumstances and medical history. Your healthcare provider will determine if an ECG is necessary based on your symptoms, medical history, and physical examination. Here are some common reasons why patients can be recommended an ECG -

  • Assess chest pain or discomfort - Chest pain or discomfort may be a sign of a heart condition such as angina, heart attack, or pericarditis. An ECG can help diagnose the cause of chest pain or discomfort.
  • Evaluate heart rhythm - An ECG can be used to detect and evaluate arrhythmias (irregular heart rhythms) such as atrial fibrillation or ventricular tachycardia.
  • Check heart health during a routine physical exam - Some healthcare providers may recommend an ECG as part of a routine physical exam, especially if you have a family history of heart disease or other risk factors.
  • Monitor heart health in people with existing heart conditions - People with heart conditions such as heart failure, coronary artery disease, or previous heart attacks may require regular ECGs to monitor their heart health.
  • Evaluate the effects of medications - Certain medications, such as those used to treat arrhythmias, may require regular ECGs to monitor their effects on the heart.
  • Assess overall health before surgery - An ECG may be recommended before surgery to assess heart health and identify any potential risks
  • Diagnose other medical conditions - An ECG may also be used to diagnose other medical conditions such as lung disease or electrolyte imbalances that can affect the heart

What can an ECG diagnose?

ECG tracks the heart’s activity for a short time. Therefore, it does not pick up irregularities that happen once in a while. The doctor may diagnose your condition based on the types of devices like Holter Monitor (the patient wears the device for 24 to 48 hours) or Event Monitor (the patient wears this device for a week or more). ECG can diagnose various cardiac conditions, including -

  • Arrhythmias - irregular heartbeat
  • Coronary artery disease - a blockage in the heart's blood vessels
  • Heart attack - damage to the heart muscle due to reduced blood flow
  • Heart failure - the heart is unable to pump blood effectively
  • Cardiomyopathy - heart muscle disorders
  • Valvular heart disease - damage to the heart valves
  • Congenital heart disease - heart defects present at birth
  • Pericarditis - inflammation of the sac surrounding the heart

How Does One Interpret An Electrocardiogram (ECG)?

Interpreting an ECG requires specialised training and expertise. A trained healthcare professional can analyze the ECG and identify any abnormalities in the electrical activity of the heart. They look for various features like - 

  • Heart rate - the number of times the heart beats per minute
  • Rhythm - regular or irregular heartbeat
  • P wave - the first wave in the ECG, indicating the contraction of the atria
  • QRS complex - a set of three waves indicating the contraction of the ventricles
  • ST segment - the segment between the QRS complex and T wave, indicating the electrical recovery of the ventricles
  • T wave - the wave indicating the recovery of the ventricles

Conclusion:

ECG is a valuable tool for diagnosing and monitoring various cardiac conditions. It is a non-invasive and painless test that involves attaching electrodes to the chest, arms, and legs. A trained healthcare professional can analyze the ECG and identify any abnormalities in the electrical activity of the heart. If you experience any cardiac symptoms, such as chest pain or shortness of breath, seek medical attention immediately. Your healthcare provider may recommend an ECG or other diagnostic tests to evaluate your heart health.

FAQs:

What is the difference between an electrocardiogram and an electrocardiograph?

ECG or EKG are different abbreviations of the same test. An electrocardiogram is used to measure an individual’s heart functioning by measuring electrical impulses. People may also refer to an electrocardiogram as an electrocardiograph. Electrocardiogram is a graph showing heart activity whereas an electrocardiogram is a machine used to measure. 

Are there any risks associated with the test?

No, ECGs are safe, noninvasive, and painless tests with no major risks. However, you may feel slight discomfort or irritation when the electrodes are attached to the skin with sticky patches.

Will I need to do anything to prepare for the test?

No, there is nothing special you should do before the test. You can eat and drink normally as you do. However, it is important to follow the instructions given by the doctor before the test to ensure accurate results.