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Friday, June 28, 2013

ECG or EKG

 An electrocardiogram is used to monitor your heart. Each beat of your heart is triggered by an electrical impulse normally generated from special cells in the upper right chamber of your heart. An electrocardiogram , also called an ECG or EKG — records these electrical signals as they travel through your heart. Your doctor can use an electrocardiogram to look for patterns among these heartbeats and rhythms to diagnose various heart conditions.

An electrocardiogram is a noninvasive, painless test. The results of your electrocardiogram will likely be reported the same day it's performed, and your doctor will discuss them with you at your next appointment.


why its done?

 An electrocardiogram is a painless, noninvasive way to diagnose many common types of heart problems. Your doctor may use an electrocardiogram to detect:

    Irregularities in your heart rhythm (arrhythmias)
    Heart defects
    Problems with your heart's valves
    Blocked or narrowed arteries in your heart (coronary artery disease)
    A heart attack, in emergency situations
    A previous heart attack

   
    Risks
   
     An electrocardiogram is a safe procedure. There may be minor discomfort, similar to removing a bandage, when the electrodes taped to your chest to measure your heart's electrical signals are removed. Rarely, a reaction to the electrodes may cause redness or swelling of the skin.

A stress test, in which an ECG is performed while you exercise or after you take medication that mimics effects of exercise, may cause irregular heartbeats or, rarely, a heart attack. These side effects are caused by the exercise or medication, not the ECG itself.

There isn't any risk of electrocution during an electrocardiogram. The electrodes placed on your body only record the electrical activity of your heart. They don't emit electricity.


how you prepare?

No special preparations are necessary. However, avoid drinking cold water or exercising immediately before an electrocardiogram. Cold water can produce potentially misleading changes in one of the electrical patterns recorded during the test. Physical activity, such as climbing stairs, may increase your heart rate

what can you expect?

 During the procedure
An electrocardiogram can be done in the doctor's office or hospital, and is often performed by a technician. After changing into a hospital gown, you'll lie on an examining table or bed. Electrodes — often 12 to 15 — will be attached to your arms, legs and chest. The electrodes are sticky patches applied with a gel to help detect and conduct the electrical currents of your heart. If you have hair on the parts of your body where the electrodes will be placed, the technician may need to shave the hair so that the electrodes stick properly.

You can breathe normally during the electrocardiogram. Make sure you're warm and ready to lie still, however. Moving, talking or shivering may distort the test results. A standard ECG takes just a few minutes.

If you have a heartbeat irregularity that tends to come and go, it may not be captured during the few minutes a standard ECG is recording. To work around this problem, your doctor may recommend another type of ECG:

    Holter monitoring. Also known as an ambulatory ECG monitor, a Holter monitor records your heart rhythms for an entire 24-hour period. Wires from electrodes on your chest go to a battery-operated recording device carried in your pocket or worn on a belt or shoulder strap. While you're wearing the monitor, you'll keep a diary of your activities and symptoms. Your doctor will compare the diary with the electrical recordings to try to figure out the cause of your symptoms.
    Event recorder. If your symptoms don't occur often, your doctor may suggest wearing an event recorder. This device is similar to a Holter monitor, but it allows you to record your heart rhythm just when the symptoms are happening. You can send the ECG readings to your doctor through your phone line.
    Stress test. If your heart problems occur most often during exercise, your doctor may ask you to walk on a treadmill or ride a stationary bike during an ECG. This is called a stress test. If you have a medical condition that makes it difficult for you to walk, medication may be injected to mimic the effect of exercise on the heart.

After the procedure

Usually, your doctor will be able to tell you the results of your ECG the same day it's performed. If your electrocardiogram is normal, you may not need any other tests. If the results show there's a problem with your heart, you may need a repeat ECG or other diagnostic tests, such as an echocardiogram. Treatment depends on what's causing your signs and symptoms.



part-2-Further information


How the Test is Performed


You will be asked to lie down. The health care provider will clean several areas on your arms, legs, and chest, and then attach small patches called electrodes to the areas. It may be necessary to shave or clip some hair so the patches stick to the skin. The number of patches used may vary.

The patches are connected by wires to a machine that turns the heart's electrical signals into wavy lines, which are often printed on paper. The test results are reviewed by the doctor.

You usually need to remain still during the procedure. The health care provider may also ask you to hold your breath for a few seconds as the test is being done. Any movement, including muscle tremors such as shivering, can alter the results. So it is important to be relaxed and relatively warm during an ECG recording.

Sometimes this test is done while you are exercising or under minimal stress to monitor changes in the heart. This type of ECG is often called a stress test.
How to Prepare for the Test

Make sure your health care provider knows about all the medications you are taking, as some can interfere with test results.

Exercising or drinking cold water immediately before an ECG may cause false results.

How the Test Will Feel

An ECG is painless. No electricity is sent through the body. The electrodes may feel cold when first applied. In rare cases, some people may develop a rash or irritation where the patches were placed.
Why the Test is Performed

An ECG is used to measure:

    Any damage to the heart
    How fast your heart is beating and whether it is beating normally
    The effects of drugs or devices used to control the heart (such as a pacemaker)
    The size and position of your heart chambers

An ECG is usually the first test done to determine whether a person has heart disease. Your doctor may order this test if:

    You have chest pain or palpitations
    You are scheduled for surgery
    You have had heart problems in the past
    You have a strong history of heart disease in the family

There is no reason for healthy people to have yearly ECG tests.
Normal Results

    Heart rate: 60 to 100 beats per minute
    Heart rhythm: consistent and even

What Abnormal Results Mean

Abnormal ECG results may be a sign of

    Abnormal heart rhythms (arrhythmias)
    Damage or changes to the heart muscle
    Changes in the amount of sodium or potassium in the blood
    Congenital heart defect
    Enlargement of the heart
    Fluid or swelling in the sac around the heart
    Inflammation of the heart (myocarditis)
    Past or current heart attack
    Poor blood supply to the heart arteries

Some heart problems that can lead to changes on an ECG test include:

    Atrial fibrillation/flutter
    Heart failure
    Multifocal atrial tachycardia
    Paroxysmal supraventricular tachycardia
    Sick sinus syndrome
    Wolff-Parkinson-White syndrome
   
   
    source:http:\\www.mayoclinic.com
    source:http://www.nlm.nih.gov/medlineplus/ency/article/003868.htm

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