Electrocardiogram (ECG) – Purpose, Uses, and Key Differences

When it comes to gauging heart health, few tests are as widely used — and relied upon — as the electrocardiogram (ECG). This simple, non-invasive examination is an important tool for the discovery and diagnosis of a number of heart conditions. An ECG, by monitoring the actual electrical activity of your heart, can offer fast and critical information about your heart health.

Chest pain or just a regular check-up, an ECG can be the first step in diagnosing potential problems. On this blog post, we’ll be discussing what is an electrocardiogram, what is it used for, we’ll be also answering the question of electrocardiogram vs electrocardiograph so you can have a better understanding of this widely used diagnostic tool.

What is an Electrocardiogram?

An ECG, which stands for electrocardiogram, is a test that records the electrical signals of the heart. Our hearts are rhythmically squeezed by electrical signals prompting our heart muscles to contract, and this activity can be sensed and recorded by electrodes located on the surface of our skin.

During the test, sticky patches (electrodes) are placed on your chest, arms and legs. These electrodes are linked to a machine that creates a tracing — a visual showing of the surge and retreat of the heart’s electrical activity — on paper or a computer screen. The entire process typically lasts from 5 to 10 minutes, is painless and noninvasive.

Although simple, the ECG is an essential tool found in many GP practices, hospitals and cardiology clinics, and is capable of providing valuable information for the functioning of the heart.

Purpose of Electrocardiogram: Why is it Done?

The ECG’s primary role is to assess how well the heart is functioning, and also to identify any problems. Doctors frequently suggest an ECG if you have symptoms that may indicate a heart problem. These symptoms might include:

  • Chest pain or discomfort
  • Dizziness or fainting
  • Palpitations or sensation of fluttering
  • Shortness of breath

ECGs are also taken pre-surgery, to verify that the heart is healthy, or in routine monitoring of a patient with known heart problems. It is also useful to note on:

  • Abnormal heart rhythms (arrhythmias)
  • Current or past heart attack was also considered as evidence.
  • Anatomical defect or injury of the heart muscle

At the end of the day, an ECG is an early warning signal for things – more testing or treatment.

Uses of Electrocardiogram in Medical Diagnosis

The electrocardiogram (ECG) has many uses in contemporary medicine. Its most frequent applications include:

  • Diagnosis of coronary artery disease (CAD), in which blood supply to the heart is limited.
  • Monitoring a pacemaker to make sure it is working properly.
  • The effects of some medications that can change heart rhythm or rate.
  • Secondary prevention: Athletes and patients with family history to heart diseases.

 

Special ECG Tests

There are also specialised ECG tests for specific diagnosis needs. Holter monitor, for instance, monitors heart activity over 24 — 48 hours, which is great to identify intermittent problems. An exercise test is a procedure to record ECGs during exercise to see how physically stressed the heart becomes during exercise.

Electrocardiogram vs. Electrocardiograph: What’s the Difference?

A common point of confusion is the difference between an electrocardiogram and an electrocardiograph.

While these two phrases are frequently utilised in lieu of each other, there is actually a slight difference between them:

  • The electrocardiogram (ECG or EKG) is the recording of the heart’s electrical activity as the test is being performed and of the tracing or recording that is produced as a printed report and / or in a computer.
  • The instrument on which the ECG is performed is called an electrocardiograph.

It is useful to know this difference when talking about results or asking for a test, but in context most healthcare professionals will know both terms.

How to Prepare for an ECG Test

ECG preparation is easy and minimal:

  • Typically no fasting or special medication adjustments are required.
  • Do not apply lotions or oils to your chest as they can prevent proper contact with the electrodes.
  • Dress in loose, comfortable clothing, since you might need to take off your shirt or wear a gown.

In the test, you will be asked to lie down as the electrodes are connected. The whole procedure is fast and absolutely secure.

Understanding ECG Results

Various features of heart activity are shown in an ECG graph:

  • P wave: atrial activity
  • QRS complex = ventricular contraction
  • T wave: heart muscle recovery

A typical ECG would show the heart beating in a regular rhythm and at a normal rate. An abnormal result may be suggestive of an arrhythmia, evidence of a prior heart attack, or other condition that requires additional testing.

Limitations of an ECG

ECG recordings are invaluable, but have inherent limitations. If your symptoms come and go, a regular ECG might not catch the problem. In such situations, prolonged monitoring such as Holter monitor, event recorder may be indicated.

On top of that, an ECG may not easily reveal coronary blockages unless it has a current impact on electrical activity — hence the need for further tests, possibly including echocardiograms or stress analyses.

Conclusion

The electrocardiogram (ECG) is one of the most invaluable and available diagnostic markers for cardiac health monitoring. Its utility and significance in both ad hoc and elective care, from ECG-detection of arrhythmias to continuous diagnostics present no doubt. What it is, how it works, and what it can tell you; it is with this basic understanding that patients can cope with their heart health better than ever before.

Need an ECG? Schedule an appointment with our experts, today!

Chase Lodge Hospital

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