ISSN 2398-2950      

ECG: overview

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Introduction

  • An electrocardiogram (ECG), is a recording of the electrical potential generated within the heart during the cardiac cycle.
  • It is a measurement of voltage (amplitude), against time.
  • The electrical potential generated during the cardiac cycle is measured by connecting electrodes (attached to specific body sites), to a galvanometer and the changes in electrical potential with time are recorded onto graph paper.
  • The cardiac cycle is usually initiated by an electrical impulse from the sinus node and a wave of depolarization and subsequent repolarization spread throughout the myocardium.
  • The ECG machine measures the sum of this electrical activity (as detected by the surface electrodes), against time and, providing that the electrodes are placed correctly, an examination of the subsequent ECG tracing will provide useful information on myocardial electrical activity and cardiac rhythm.
  • Under certain circumstances, the ECG may be useful in the assessment of certain electrolyte and acid-base disorders.

ECGs do NOT measure myocardial contractility.

Connecting the ECG leads

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Interpreting the ECG

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Further Reading

Publications

Refereed papers

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