What is an Electrocardiogram?

An electrocardiogram (ECG) is a test that records the electrical activity of the heart by measuring the rate and regularity of heartbeats as well as the size and position of the chambers.  An ECG also has the ability to detect the presence of any damage to the heart. An ECG may be included as part of a routine examination in patients over 40 years old.

How the test is performed:
You are asked to lie down, and electrodes are affixed to each arm and leg and to your chest. This requires cleaning the site and, if necessary, shaving or clipping hair. The standard number of leads attached is 12 to 15 for a diagnostic ECG but may be as few as 3 to 5 for a monitoring procedure.  You are usually required to remain still, and you may be asked to hold your breath for short periods during the procedure. Sometimes this test is performed while you are exercising or under minimal stress to monitor changes in the heart. This type of ECG is often called a stress test.  The results are recorded on graph paper.

How to prepare for the test:
Before the ECG, tell your health care provider if you are taking any medications.  There are no restrictions for food or fluids. However, ingestion of cold water immediately before an ECG may produce changes in one of the waveforms recorded (the T wave). Exercise (such as climbing stairs) immediately before an ECG may significantly increase your heart rate.  You may be asked to remove all jewelry and to wear a hospital gown.

How the test will feel:
An ECG is painless. When first applied, the disks may be cold and in rare circumstances, you may develop a localized rash or irritation where the patch