What Is Ecg
What Is Ecg
It is a transthoracic (across the thorax or chest) interpretation of the electrical activity of the heart over a period of time, as detected by electrodes attached to the outer surface of the skin and recorded by a device external to the body. The ECG consists of 12 views of the electrical impulse generated by the heart. The 6 views on the left half of the ECG (called I, II, III, aVR, aVL, and aVF) are generated by the electrodes on the arms and legs; the 6 views on the right half (V1 through V6) are generated by the electrodes on the chest. From these 12 views, various cardiac abnormalities can be localized to specific areas of the heart. Each heartbeat generates a "complex" consisting of 3 parts: The "P" wave represents the electrical impulse traveling across the atria of the heart. Abnormalities of the P wave, therefore, reflect abnormalities of the right and/or left atrium.
The QRS complex represents the electrical impulse as it travels across the ventricles. Abnormalities of the QRS are often seen when there has been prior damage to the ventricular muscle, such as in a prior myocardial infarction (heart attack.) The "T" wave represents the recovery period of the ventricular muscle after it has been stimulated. The portion of the ECG between the QRS complex and the T wave is called the ST segment. Abnormalities of the ST segment and the T waves are often seen when the heart muscle is ischemic - that is, when it is not getting enough oxygen, usually because there is a blockage in a coronary artery.
INDICATIONS:
- The illnesses of the heart muscle This exam permits to detect very many illnesses of the heart, first of all the myocardial infarction. - The illnesses of the envelope of the heart, the pericardium
The pericarditis can also be detected by an electrocardiogram. - The disorders of the heart rhythm The slowing of the cardiac frequency (bradycardia) or on the contrary its acceleration (tachycardia) will be easily detected thanks to an electrocardiogram. The physician will even specify the exact nature of the rhythmic illness of the heart.
CONTRAINDICATIONS
Early stages of acute myocardial infarction Unstable angina pectoris unless the patient has stabilized Severe congestive heart failure Severe aortic stenosis Active myocarditis, pericarditis, or endocarditis Dissecting aortic aneurysm; an abdominal aortic aneurysm is not a contraindication [15] Recent pulmonary or systemic emboli Resting systolic BP >200 mmHg, or diastolic BP >120 mmHg Acute thrombophlebitis
A small amount of gel is applied to the skin, which allows the electrical impulses of the heart to be more easily transmitted to the EKG leads. The leads are attached by small suction cups, Velcro straps, or by small adhesive patches attached loosely to the skin. The test takes about five minutes and is painless. In some instances, men may require the shaving of a small amount of chest hair to obtain optimal contact between the leads and the skin.