Understanding EKG (Electrocardiogram) Readings

Introduction

An electrocardiogram (EKG or ECG) is a crucial test used to evaluate the electrical activity of the heart. It helps detect heart diseases such as arrhythmias, heart attacks, and other cardiac conditions.

How an EKG Works

The heart generates electrical impulses that regulate its contractions. The EKG records these impulses and displays them as waves on a monitor or paper. The main components of an EKG reading include:

  • P wave: Represents atrial depolarization (atrial contraction)
  • QRS complex: Indicates ventricular depolarization (ventricular contraction)
  • T wave: Represents ventricular repolarization (recovery phase)

A normal EKG has a regular rhythm with a heart rate between 60-100 beats per minute (bpm).

Common Abnormalities in an EKG

  • Arrhythmias: Irregular heartbeats (e.g., atrial fibrillation, ventricular tachycardia)
  • Bradycardia: Slow heart rate (<60 bpm)
  • Tachycardia: Fast heart rate (>100 bpm)
  • ST elevation: May indicate a myocardial infarction (heart attack)
  • ST depression or T-wave inversion: May point to ischemia (reduced blood flow to the heart)

Why Is an EKG Important?

  • Diagnoses heart attacks and arrhythmias
  • Monitors heart function in patients with known heart disease
  • Enables early detection of heart conditions before symptoms worsen

How to Interpret an EKG?

While computerized EKG readers exist, only a trained cardiologist or physician should confirm an interpretation to avoid misdiagnosis.

If you have concerns about your EKG results, consult a healthcare professional immediately.

Source recommendations

1. American Heart Association Guidelines on Electrocardiograms

  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://pubmed.ncbi.nlm.nih.gov/19281932/
  4. https://www.ahajournals.org/doi/10.1161/circulationaha.106.180200
  5. https://cpr.heart.org/en/courses/acls-prep-ecg-pharmacology

2. European Society of Cardiology Guidelines on Cardiac Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  2. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  4. https://pubmed.ncbi.nlm.nih.gov/36017572/
  5. https://www.ahajournals.org/doi/10.1161/01.cir.0000091380.04100.84

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