Understanding Your Electrocardiogram (ECG/EKG)

A Comprehensive Guide to Heart Activity Monitoring

Cardiology

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Last updated: Mar 24, 2025

What is an ECG?

An electrocardiogram (ECG or EKG) is a non-invasive medical test that records your heart's electrical activity. It provides valuable information about your heart's rhythm, rate, and overall function.

How Does It Work?

The test works by:

  • Placing small adhesive electrodes on specific areas of your chest, arms, and legs
  • These electrodes detect tiny electrical impulses produced by your heartbeat
  • The signals are recorded and displayed as waves on paper or a digital screen

What Does It Measure?

Key Components:

  1. P Wave: Represents atrial contraction
  2. QRS Complex: Shows ventricular contraction
  3. T Wave: Indicates ventricular relaxation

Common Reasons for an ECG

  • Chest pain investigation
  • Heart rhythm abnormalities
  • Heart attack diagnosis
  • Pre-operative evaluation
  • Routine health screening

The Procedure

Before the Test:

  • No special preparation required
  • Wear easily removable upper clothing
  • Remove jewelry from neck and wrists

During the Test:

  1. You'll lie flat on an examination table
  2. Electrodes will be attached to your skin
  3. You'll need to lie still for about 5-10 minutes
  4. The machine will record your heart's activity

Safety and Comfort

  • Completely painless procedure
  • No electricity enters your body
  • No radiation exposure
  • Takes only a few minutes

Results and Follow-up

  • Results are often available immediately
  • Your healthcare provider will interpret the patterns
  • May require additional tests based on findings

When to Seek Immediate Care

Contact your healthcare provider if you experience:

  • Chest pain
  • Irregular heartbeat
  • Shortness of breath
  • Dizziness or fainting

Additional Information

  • Regular ECGs may be needed for monitoring certain conditions
  • Keep records of your ECG results
  • Discuss any concerns with your healthcare provider

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