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Definition, Method and Stages of Electrocardiogram

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Body is a volume conductor and the heart muscle, being the electrical generator with two

opposite poles (dipole), is bathed in it. Under this condition, electrical impulse that is initiated in
the cardiac muscle will be transmitted throughout the body. If suitable electrodes (leads) are
placed on the body opposite to the heart and connected to a very sensitive galvanometer with a
recording device, then the electrical potential can be recorded. The record is known as
electrocardiogram (ECG). The machine by which the electrocardiogram is recorded is spoken of
as electro cardiograph.
Definition, Method and Stages of Electrocardiogram
An electrocardiogram (ECG or EKG) is a medical test that records the electrical activity of the
heart over a period of time. It is a valuable tool for diagnosing various heart conditions and
assessing the heart's rhythm and overall function. The ECG is performed by attaching electrodes
to the skin at various points on the body, which then pick up the electrical signals generated by
the heart. These signals are amplified and recorded on a graph, which is interpreted by medical
professionals to determine the heart's health and functioning.
Method of Electrocardiogram (ECG):
1. Electrode Placement: Small metal electrodes are attached to specific locations on the
patient's chest, arms, and legs. These electrodes are connected to a machine called an
ECG recorder.
2. Signal Recording: The ECG recorder measures and records the electrical activity of the
heart. It detects the electrical impulses that travel through the heart's muscle fibers during
each heartbeat.
3. Graphical Representation: The electrical signals are displayed as a series of waves on a
graph. Each wave corresponds to a specific electrical event in the heart's cycle.
Stages of an ECG: The ECG graph is divided into various components, each of which
represents a different phase of the cardiac cycle:
1. P-Wave: This small upward deflection represents the atrial depolarization (contraction)
as the electrical impulses spread across the atria. It indicates the initiation of the heart's
contraction.
2. QRS Complex: The QRS complex is a series of three waves—Q, R, and S. It represents
the ventricular depolarization (contraction) as the electrical signals spread through the
ventricles. The QRS complex is larger and wider than the P-wave.
3. T-Wave: The T-wave represents the repolarization (relaxation) of the ventricles, when
they are getting ready for the next heartbeat.
4. U-Wave (sometimes): In some ECGs, a small U-wave follows the T-wave. The U-wave's
origin and significance aren't fully understood, but it's thought to represent repolarization
of the Purkinje fibers or an electrolyte imbalance.
Interpretation: Medical professionals analyze the ECG graph to identify irregularities,
anomalies, and patterns that could indicate heart conditions such as arrhythmias, ischemia
(reduced blood flow), or abnormal conduction pathways. Changes in the shape, size, and timing
of the waves can provide valuable information about the heart's health and functioning.

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