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Last updated: 11/24/2009

Diagnosis/Preparation

Patients are asked not to eat for several hours before a stress test. Before the leads are attached, the skin is cleaned to obtain good electrical contact at the electrode positions and, occasionally, shaving the chest may be necessary.

Heart...

problems are diagnosed by the pattern of electrical waves produced during the EKG, and an abnormal rhythm can be called dysrhythmia. The cause of dysrhythmia is ectopic beats. Ectopic beats are premature heartbeats that arise from a site other than the sinus node—commonly from the atria, atrioventricular node, or the ventricle. When these dysrhythmias are only occasional, they may produce no symptoms or simply a feeling that the heart is turning over or "flip-flopping." These occasional dysrhythmias are common in healthy people, but they also can be an indication of heart disease.

The varied sources of dysrhythmias provide a wide range of alterations in the form of the electrocardiogram. Ectopic beats display an abnormal QRS complex. This can indicate disease associated with insufficient blood supply to the heart muscle (myocardial ischemia). Multiple ectopic sites lead to rapid and uncoordinated contractions of the atria or ventricles. This condition is known as fibrillation. When the atrial impulse fails to reach the ventricle, a condition known as heart block results.



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This narrated animation shows how blood flows through the various chambers of the heart and the electric system that controls the heart muscle's pumping action.

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Other Information

An electrocardiogram (ECG or EKG) is a recording of the electrical activity of the heart over time produced by an electrocardiograph, usually in a noninvasive recording via skin electrodes. Its name is made of different parts: electro, because it is related to electrical activity, cardio, Greek for heart, gram, a Greek root meaning "to write". In the US, the abbreviation "EKG" , (abbreviated from the German Elektrokardiogramm) is often preferred over "ECG", while "ECG" is used universally in the UK and many other countries. It is preferred as "EKG" in the US because doctor's handwriting of "ECG" can often be confused as "EEG" when transcribing orders or with echocardiography which is also abbreviated "ECG".


From http://en.wikipedia.org/wiki/Electrocardiography

Other Information

In 2005, an estimated 6,989,000 inpatient cardiovascular operations and procedures were performed in the United States; 4.1 million were performed on males and 2.9 million were performed on females.


From: American Heart Association

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