Different Types of ECG

Introduction

Electrocardiography (ECG or EKG) is a diagnostic test that records the electrical activity of the heart over a period of time. It is used to detect heart diseases, arrhythmias, and other cardiovascular conditions.

1. Standard 12-Lead ECG

This is the most common type of ECG, providing a detailed assessment of the heart's electrical activity from 12 different angles. It is used for diagnosing myocardial infarction, arrhythmias, and other cardiac conditions.

2. Holter Monitor ECG

A portable device that continuously records the heart's electrical activity for 24-48 hours or longer. It is useful for detecting intermittent arrhythmias that may not appear during a short, standard ECG.

3. Event Monitor ECG

Similar to a Holter monitor, but the device is activated by the patient when symptoms appear. It is used to diagnose infrequent arrhythmias.

4. Stress ECG (Exercise ECG)

Records the electrical activity of the heart while the patient performs physical exercise on a treadmill or stationary bicycle. It helps detect coronary artery disease and assess heart function under stress.

5. Signal-Averaged ECG (SAECG)

A specialized form of ECG that amplifies low-amplitude signals to detect ventricular arrhythmias, which could lead to sudden cardiac death.

6. Intracardiac ECG (Electrophysiology Study – EPS)

This type of ECG is performed by placing catheters inside the heart to directly record electrical signals. It is used in advanced arrhythmia diagnostics and treatment planning.

Conclusion

Different types of ECG tests serve various diagnostic purposes, from routine screenings to advanced arrhythmia detection and coronary disease assessment. The choice of ECG depends on the suspected condition and the required diagnostic accuracy.

Source recommendations

1. American Heart Association Guidelines on ECG Analysis

  1. https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/electrocardiogram-ecg-or-ekg
  2. https://www.ahajournals.org/doi/10.1161/circulationaha.108.191095
  3. https://cpr.heart.org/en/courses/acls-prep-ecg-pharmacology
  4. https://www.ahajournals.org/doi/10.1161/circulationaha.108.191098
  5. https://pubmed.ncbi.nlm.nih.gov/19281932/

2. European Society of Cardiology Guidelines on the Interpretation of the ECG

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines
  2. https://pubmed.ncbi.nlm.nih.gov/12269267/
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Neonatal-Electrocardiogram-Guidelines-for-the-interpretation-of-the
  4. https://www.jacc.org/doi/10.1016/j.jacc.2017.01.015
  5. https://pubmed.ncbi.nlm.nih.gov/23564906/

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