An ECG
An ECG
An ECG
Definition:
An ECG is a medical test that records the electrical activity of the heart. It helps in diagnosing
various heart conditions by measuring the electrical impulses that trigger each heartbeat.
How it Works:
The heart's electrical system controls the rhythm and rate of the heart. Electrodes placed on the
skin detect electrical signals as they travel through the heart muscle. The signals are then
amplified and displayed as a waveform on the ECG screen or paper.
1. P Wave:
o Represents atrial depolarization, the electrical activity that causes the atria to
contract.
2. QRS Complex:
o Represents ventricular depolarization, the electrical impulse that causes the
ventricles to contract.
o It is a sharp, large waveform and is the most prominent feature on an ECG.
3. T Wave:
o Represents ventricular repolarization, the recovery phase where the ventricles
reset to their resting state.
4. U Wave (if present):
o Often seen in some individuals, it is thought to reflect repolarization of the
papillary muscles or the end of ventricular repolarization.
Key Intervals:
1. PR Interval:
o Time from the beginning of the P wave to the beginning of the QRS complex.
Represents the time for the electrical signal to travel from the atria to the
ventricles.
2. QT Interval:
oTime from the beginning of the QRS complex to the end of the T wave.
Represents the total time for the ventricles to depolarize and repolarize.
3. RR Interval:
o The time between two successive R waves. Used to calculate the heart rate.
Clinical Relevance:
12-lead ECG: Provides a comprehensive view of the heart’s electrical activity from 12
different angles.
Single-lead ECG: Records the heart’s electrical activity from one angle, often used for
monitoring.
Limitations:
ECG only detects electrical activity; it may not reveal other heart issues like structural
abnormalities or blood flow problems.
For accurate interpretation, it must be read in conjunction with the patient’s clinical
history and symptoms.