Understanding ECG (Electrocardiogram)

Introduction

An electrocardiogram (ECG or EKG) is a test that records the electrical activity of your heart. It helps doctors diagnose heart conditions by analyzing the rhythm, rate, and strength of your heartbeats.

Why Is an ECG Done?

An ECG is commonly used to detect: - Arrhythmias (irregular heart rhythms) - Heart attacks (past or ongoing) - Enlargement of the heart due to high blood pressure or heart disease - Electrolyte imbalances that may affect the heart

How Is an ECG Performed?

  • Small electrodes are attached to your skin on the chest, arms, and legs.
  • These electrodes detect electrical signals from your heart.
  • The machine records these signals as wave patterns on a graph.
  • The test is painless and takes only a few minutes.

What Do ECG Results Show?

  1. Normal ECG : Indicates a healthy heart rhythm.
  2. Abnormal ECG : Can reveal problems such as:
    • Atrial fibrillation (irregular heartbeat)
    • ST-elevation (potential heart attack)
    • Q waves (signs of past heart attack)
    • Long or short QT interval (risk of arrhythmias)

When Should You Get an ECG?

A doctor may recommend an ECG if you have: - Chest pain - Palpitations (fast or irregular heartbeat) - Shortness of breath - Dizziness or fainting - High blood pressure or a history of heart disease

Summary

An ECG is a simple yet powerful tool for assessing heart health. If you have any symptoms related to heart problems, consult a doctor for further evaluation.

Source recommendations

1. 2022 AHA/ACC/HRS Guideline for the Evaluation and Management of Patients With Cardiac Arrhythmias

  1. https://www.ahajournals.org/doi/10.1161/cir.0000000000000499
  2. https://www.heartrhythmjournal.com/article/S1547-5271(22)01946-4/fulltext
  3. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000628
  4. https://www.jacc.org/doi/abs/10.1016/j.jacc.2018.10.044
  5. https://www.sciencedirect.com/science/article/abs/pii/S1547527122019464

2. 2023 European Society of Cardiology (ESC) Guidelines on the Management of Acute Coronary Syndromes

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-Coronary-Syndromes-ACS-Guidelines
  2. https://pubmed.ncbi.nlm.nih.gov/37622654/
  3. https://academic.oup.com/eurheartj/article/44/38/3720/7243210
  4. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2023/08/29/14/01/2023-esc-guidelines-acs-esc-2023
  5. https://academic.oup.com/eurheartj/article/45/13/1145/7611911

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