Electrocardiogram (ECG)

Electrocardiogram (ECG)

Overview

An electrocardiogram (ECG or EKG) is a quick, painless test that involves placing up to 12 electrode leads around your chest, lower arms, and lower legs to record the electrical activity of your heart. It helps detect irregular heart rhythms, heart disease, and other cardiac conditions. It is often recommended by doctors as part of routine health checks, pre-surgery assessments, or if you’re experiencing symptoms like palpitations, dizziness, or chest pain.

What Does an ECG show?

An ECG provides a detailed look at how your heart beats by recording its electrical signals and how they flow through the heart. This activity produces a series of peaks and troughs on a graph, giving doctors crucial insights into your heart’s health:

  • P wave: The first small bump on the graph shows when the heart’s upper chambers (atria) contract to push blood into the lower chambers.
  • QRS complex: A sharp, tall spike that represents the powerful contraction of the lower chambers (ventricles), pumping blood to the lungs and body.
  • T wave: A smaller wave following the QRS complex, indicating the heart’s recovery phase as it resets for the next beat.

By analysing these waves, doctors can detect a variety of abnormalities and heart conditions.

Types of ECG Tests

There are different types of ECGs designed for varying diagnostic needs, though most patients only need a standard ECG:

  • Standard ECG: You will be asked to lie down and remain still while ECG leads are attached to get a baseline measurement of heart activity. It is commonly used to check for arrhythmias, structural abnormalities, and other heart conditions.
  • Holter Monitor (24-hour ECG): You’ll be given a small, portable device that needs to be worn continuously for 24 hours. It records heart activity throughout daily routines, making it helpful in detecting intermittent heart rhythm issues that may not always be present. You will also be asked to keep a diary if you have any symptoms at the time of recording.

How To Prepare For an ECG Test

Before going for your ECG test, there are a few steps you can do to make the experience as comfortable as possible. 

  • Avoid using lotions or gels on the skin so the adhesives on the electrode leads are less likely to slip or fall off.
  • Avoid wearing restrictive clothing or hosiery, as the ECG leads have to be placed directly on the arms and legs. 
  • It might be helpful for men to trim or shave chest hair so the electrodes have better skin contact, which will help provide more accurate results.

How an ECG Works

The doctor or nurse performing the test will ask you to remove the top half of your clothing; your modesty will be maintained throughout in a private room. Women will need to remove their bras as they can interfere with the readings or electrode placement. Watches should also be removed. 

You’ll be asked to lie on the exam table, where your doctor will stick up to 12 small adhesive ECG leads around your chest, just above the ankles, and at the inner wrist. You will be asked to relax and stay still, breathing normally, while the ECG machine measures your heart’s activity in wave patterns. The entire procedure typically takes 5-10 minutes and is painless. Afterwards, your doctor will explain the results to you.

 

Why is an ECG Important?

An ECG is important because it provides a detailed evaluation of your heart’s electrical activity, giving insight into various conditions.

  • Irregular heart rhythms (arrhythmias): ECGs help detect conditions such as atrial fibrillation, bradycardia, and tachycardia, which can impact heart function and increase stroke risk.
  • Heart disease and structural abnormalities: The test can reveal signs of past heart attacks (myocardial infarction) and conditions affecting the heart muscle, such as cardiomyopathy.
  • Medication effects: Certain medications affect heart rate and rhythm; an ECG can help monitor these changes.
  • Pre-surgical assessment: Before undergoing major surgery, doctors may require an ECG to assess whether your heart can handle the procedure.

Why Go With Mid Ulster Clinic For Your Private ECG?

Monitoring your heart health is crucial in helping you live your best life. Choosing to go with us for your cardiac care means you’ll benefit from:

  • Quicker Appointments: Our private ECG testing allows you to avoid NHS delays and schedule an appointment at your convenience.
  • Personalised Care: Our experienced GP and cardiology teams work closely with you to deliver tailored, patient-centred care that enhances your cardiovascular health.
  • Supportive Environment: Our facilities prioritise your privacy so you can experience the most comfortable journey throughout.

When assessing your cardiovascular health, an ECG provides valuable insight, but it should always be complemented by a thorough history and examination by a doctor. If you’re concerned about your health, book a consultation with us to discuss your concerns and receive expert care without unnecessary delays.

Last Reviewed By A Medical Professional On 01/29/24