ECG

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Overview

An electrocardiogram (ECG or EKG, abbreviated from the German Elektrokardiogramm) is a graphic produced by an electrocardiograph, which records the electrical activity of the heart over time. Its name is made of different parts: electro, because it is related to electronics, cardio, Greek for heart, gram, a Greek root meaning "to write".

The heart muscles create electrical waves when they pump. These waves pass through the body and can be measured at electrodes (electrical contacts) attached to the skin. Electrodes on different sides of the heart measure the activity of different muscles. An ECG displays the voltage between pairs of these electrodes, and the muscle activity that they measure from different directions. This display indicates the overall rhythm of the heart, and weaknesses in different muscles. It is the best way to measure and diagnose abnormal rhythms of the heart, particularly abnormal rhythms caused by damage to the conductive tissue that carries electrical signals, or abnormal rhythms caused by levels of salts, such as calcium, that are too high or low. In myocardial infarction (MI), the ECG can identify damaged heart muscle. But it can only identify damage to muscle in certain areas, so it can't rule out damage in other areas. The ECG cannot reliably measure the pumping ability of the heart; ultrasound is used for that.

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