Electrocardiogram (ECG)

Definition:
An electrocardiogram (EKG or ECG) is a test that checks for problems with the electrical activity of your heart. An EKG translates the heart’s electrical activity into line tracings on paper. The spikes and dips in the line tracings are called waves. See a picture of the EKG components and intervals.

The heart is a muscular pump made up of four chambers. The two upper chambers are called atria, and the two lower chambers are called ventricles. A natural electrical system causes the heart muscle to contract and pump blood through the heart to the lungs and the rest of the body. See a picture of the heart and its electrical system.

The coordinated pumping of your heart is controlled by natural electrical currents within the heart. An EKG (sometimes referred to as ECG) measures those currents. An EKG is especially useful for diagnosing heart attacks and rhythm abnormalities, but it can also provide many clues about other conditions.You should have an EKG every one to three years after age 40 if you have heart disease; if you are at risk for developing it because you have high blood pressure, high cholesterol, or diabetes; or if you are about to start a vigorous exercise program.

Why It Is Done
An electrocardiogram (EKG or ECG) is done to:

*Check the heart’s electrical activity.

*Find the cause of unexplained chest pain, which could be caused by a heart attack, inflammation of the sac surrounding the heart (pericarditis), or angina.

*Find the cause of symptoms of heart disease, such as shortness of breath, dizziness, fainting, or rapid, irregular heartbeats (palpitations).

*Find out if the walls of the heart chambers are too thick (hypertrophied).

*Check how well medicines are working and whether they are causing side effects that affect the heart.

*Check how well mechanical devices that are implanted in the heart, such as pacemakers, are working to control a normal heartbeat.

*Check the health of the heart when other diseases or conditions are present, such as high blood pressure, high cholesterol, cigarette smoking, diabetes, or a family history of early heart disease.

Click to see the pictures

How To Prepare
Many medicines may change the results of this test. Be sure to tell your doctor about all the nonprescription and prescription medicines you take. If you take heart medicines, your doctor will tell you how to take your medicines before you have this test.

Remove all jewelry from your neck, arms, and wrists. Men are usually bare-chested during the test. Women may often wear a bra, T-shirt, or gown. If you are wearing stockings, you should take them off. You will be given a cloth or paper covering to use during the test.

Talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results will indicate. To help you understand the importance of this test, fill out the medical test information form (What is a PDF document?) .

If you have a hairy chest, a nurse might have to shave several patches so that the stickers or suction cups used in the test can hold to your skin.

…….…Click to see the picture

The electrocardiogram (ECG, EKG) is used extensively in the diagnosis of heart disease, from congenital heart disease in infants to heart attack (myocardial infarction) and myocarditis (heart inflammation) in adults.
.How It Is Done
An electrocardiogram (EKG or ECG) is usually done by a health professional, and the resulting EKG is interpreted by a doctor, such as an internist, family medicine doctor, electrophysiologist, cardiologist, anesthesiologist, or surgeon.

You may receive an EKG as part of a physical examination at your health professional’s office or during a series of tests at a hospital or clinic. EKG equipment is often portable, so the test can be done almost anywhere. If you are in the hospital, your heart may be continuously monitored by an EKG system; this process is called telemetry.

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How do you feel During an EKG:
*You will lie on a bed or table. Areas on your arms, legs, and chest where small metal discs (electrodes) will be placed are cleaned and may be shaved to provide a clean, smooth surface to attach the electrode discs. A special EKG paste or small pads soaked in alcohol may be placed between the electrodes and your skin to improve conduction of the electrical impulses, but in many cases disposable electrodes are used that do not require paste or alcohol.

*Several electrodes are attached to the skin on each arm and leg and on your chest. These are hooked to a machine that traces your heart activity onto a paper. If an older machine is used, the electrodes may be moved at different times during the test to measure your heart’s electrical activity from different locations on your chest. After the procedure, the electrode paste is wiped off.

*You will be asked to lie very still and breathe normally during the test. Sometimes you may be asked to hold your breath. You should not talk during the test.

*The electrodes may feel cool when they are put on your chest.

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Risk Factors:
There is no chance of problems while having an electrocardiogram (EKG or ECG). An EKG is a completely safe test.The machine is measuring natural electrical activity in your body; it is not sending electricity into you. In most cases, there is no reason why you should not be able to get an EKG.

The electrodes are used to transfer an image of the electrical activity of your heart to tracing on paper. No electricity passes through your body from the machine, and there is no danger of getting an electrical shock.
Must you do anything special after the test is over?
Nothing.

Results:
An electrocardiogram (EKG or ECG) is a test that checks for problems with the electrical activity of your heart. An EKG translates the heart’s electrical activity into line tracings on paper. The spikes and dips in the line tracings are called waves.

The test usually takes 5 to 10 minutes to complete.

Your doctor will look at the pattern of spikes and dips on your electrocardiogram to check the electrical activity in different parts of your heart. The spikes and dips are grouped into different sections that show how your heart is working. See a picture that explains the EKG components and intervals.
How long is it before the result of the test is known?
The EKG must be reviewed by a trained professional. Your doctor can interpret an EKG right away.However, if a technician is taking the EKG and your doctor is not present, it may be one to three days before there is an official interpretation by a cardiologist.
Normal: The heart beats in a regular rhythm, usually between 60 and 100 beats per minute.

The tracing looks normal.

Abnormal: The heart beats too slow (less than 60 beats per minute).

The heart beats too fast (more than 100 beats per minute).

The heart rhythm is not regular.

The tracing does not look normal.

What Affects the Test:
Reasons you may not be able to have the test or why the results may not be helpful include:

*Not having the electrodes securely attached to your skin.

*Moving or talking during the test.

*Exercising before the test.

*Being anxious or breathing very deeply or rapidly.

What To Think About:-
*Sometimes your EKG may look normal even when you have heart disease. For this reason, the EKG should always be interpreted along with your symptoms, history, physical examination, and, if necessary, other test results.

*An electrocardiogram cannot predict whether you will have a heart attack.

*At first, an EKG done during a heart attack may look normal or unchanged from a previous EKG. Therefore, the EKG may be repeated over several hours and days (called serial EKGs) to look for changes.

*There are several other types of electrocardiograms, including telemetry, ambulatory monitoring (using a Holter monitor or event monitor), and exercise EKG testing. For more information, see the medical tests Ambulatory Electrocardiogram and
*Exercise Electrocardiogram.

*Sometimes EKG abnormalities can be seen only during exercise or while symptoms are present. To check for these changes in the heartbeat, an ambulatory EKG or stress EKG may be done.

*An ambulatory EKG is a type of portable, continuous EKG monitor. For more information, see the medical test Ambulatory Electrocardiogram.

*A stress EKG is a type of EKG done during exercise. A resting EKG is always done before an exercise EKG test, and results of the resting EKG are compared to the results of the exercise EKG. A resting EKG may also show a heart problem that would make an exercise EKG unsafe. For more information, see the medical test Exercise Electrocardiogram.

*Some doctors think that people older than age 35 need a baseline EKG before problems develop. This baseline EKG may be compared to later EKGs to see if changes have occurred. But a baseline EKG is expensive and may not be covered by insurance.
*Baseline EKGs may be most useful in people who have other conditions or diseases that increase their chances of having heart disease.

You may click to learn more in detail about electrocardiogram
Resources:
https://www.health.harvard.edu/fhg/diagnostics/electrocardiogram.shtml
http://www.webmd.com/heart-disease/electrocardiogram
http://adam.about.com/reports/ECG.htm

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