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Resting ECG What is an ECG? An electrocardiogram (ECG) is a test that records the electrical activity of the heart. ECG is used to measure the rate and regularity of heartbeats as well as the size and position of the chambers, the presence of any damage to the heart, and the effects of drugs or devices used to regulate the heart (such as a pacemaker). How the test is performed? You are asked to lie down, and ten electrodes are affixed to your chest. This requires cleaning the site and, if necessary, shaving or clipping hair. You are usually required to remain still while the results are recorded. How do I 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. 1/3 Resting ECG How will I feel during the test? An ECG is painless. When the electrodes are first applied they may be cold and in rare circumstances, you may develop a localized rash or irritation where the patches are placed. Why the test is performed? An ECG is very useful in determining whether a person has heart disease. If a person has chest pain or palpitations, an ECG is helpful in determining if the heart is beating normally. If a person is on medications that may affect the heart or if the patient is on a pacemaker, an ECG can readily determine the immediate effects of changes in activity or medication levels. An ECG may be included as part of a routine examination in patients over 40 years old. What does a normal test mean? Your heart electrically is beating normal. What do abnormal results mean? Abnormal ECG results may indicate the following: - Myocardial (cardiac muscle) defect Enlargement of the heart Congenital defects Heart valve disease Arrhythmias (abnormal rhythms) Tachycardia (heart rate too fast) or bradycardia (too slow) Ectopic heartbeat Coronary artery disease Inflammation of the heart (myocarditis) Changes in the amount of electrolytes (chemicals in the blood) Past heart attack Present or impending heart attack What are the risks associated with this test? There are generally no risks. Because this procedure merely monitors the electrical impulses and does not emit electricity, there is no risk of shock. Special considerations The accuracy of the ECG varies with the condition being tested. Some heart conditions are not detectable all the time, and others may never produce any specific ECG changes. 2/3 Resting ECG A person who suspects heart disease or has had a heart attack may need more than one ECG. There is no reason for healthy people to undergo annual testing unless they have inherited risks or a medical condition. It is important to be relaxed and relatively warm during ECG recording. Any movement, including muscle tremors such as shivering, can alter the tracing. 3/3