An electrocardiogram — abbreviated as EKG or ECG — is a test that measures the electrical activity of the heartbeat. With each beat, an electrical impulse (or “wave”) travels through the heart. This wave causes the muscle to squeeze and pump blood from the heart. A normal heartbeat on ECG will show the timing of the top and lower chambers.

An ECG gives two major kinds of information. First, by measuring time intervals on the ECG, a doctor can determine how long the electrical wave takes to pass through the heart. Finding out how long a wave takes to travel from one part of the heart to the next shows if the electrical activity is normal or slow, fast or irregular. Second, by measuring the amount of electrical activity passing through the heart muscle, a cardiologist may be able to find out if parts of the heart are too large or are overworked.

Why it's done?

An electrocardiogram is a painless, noninvasive way to help diagnose many common heart problems in people of all ages. Your doctor may use an electrocardiogram to detect:

  • Irregularities in your heart rhythm (arrhythmias)
  • If blocked or narrowed arteries in your heart (coronary artery disease) are causing chest pain or a heart attack
  • Structural problems with your heart’s chambers
  • A previous heart attack
  • How well certain ongoing heart disease treatments, such as a pacemaker, are working
What are types of electrocardiographic procedures?

An electrocardiogram (ECG) is a diagnostic test that is used to detect abnormalities in the heart’s rhythm, as well as to provide important information about damage to the electrical system of the heart, heart attacks, structural abnormalities in the heart’s walls, and more. Weill Cornell provides the full range of advanced electrocardiography services, including:

  • Resting ECG: This test monitors the heart’s activity at rest. It provides information about the heart rhythm, acute and prior heart attacks, and abnormalities of the structure and electrical system of the heart.
  • Stress Test (Exercise ECG): This test monitors the heart’s activity under conditions of physical exercise. It is used for the evaluation of exercise capacity, for the detection of coronary disease and the assessment of its severity, for prediction of cardiovascular risk, and for monitoring the response to treatment.
  • Signal-averaged ECG: This procedure is performed in the same manner as a resting ECG, except that the heart’s electrical activity is recorded over a longer period of time, usually 15 to 20 minutes. A computer processes the information so that slight abnormalities that would not be seen in a standard ECG might be detected. Signal-averaged ECG assesses a patient’s risk of developing an arrhythmia.
  • Holter (Ambulatory) Monitoring: The Holter monitor is a portable electrocardiograph machine that allows readings to be made over a 24-hour period, while the individual is performing the usual activities of daily living at home or at work. This test is useful for detection of intermittent rhythm abnormalities of the heart, to quantify certain abnormalities and to relate patient symptoms to possible rhythm abnormalities.

WhatsApp WhatsApp us