An electrocardiogram (ECG) is a test that records the electrical activity of the heart.
How the Test is Performed
You will be asked to lie down. The health care provider will clean several areas on your arms, legs, and chest, and then will attach small patches called electrodes to those areas. It may be necessary to shave or clip some hair so the patches stick to the skin. The number of patches used may vary.
The patches are connected by wires to a machine that turns the heart's electrical signals into wavy lines, which are often printed on paper. The doctor reviews the test results.
You will need to remain still during the procedure. The health care provider may also ask you to hold your breath for a few seconds as the test is being done.
It is important to be relaxed and warm during an ECG recording because any movement, including shivering, can alter the results.
Sometimes this test is done while you are exercising or under light stress to look for changes in the heart. This type of ECG is often called a stress test.
How to Prepare for the Test
Make sure your health care provider knows about all the medicines you are taking. Some drugs can interfere with test results.
Do not exercise or drink cold water immediately before an ECG because these actions may cause false results.
How the Test will Feel
An ECG is painless. No electricity is sent through the body. The electrodes may feel cold when first applied. In rare cases, some people may develop a rash or irritation where the patches were placed.
Why the Test is Performed
An ECG is used to measure:
Any damage to the heart
How fast your heart is beating and whether it is beating normally
The effects of drugs or devices used to control the heart (such as a pacemaker)
The size and position of your heart chambers
An ECG is often the first test done to determine whether a person has heart disease. Your doctor may order this test if:
The accuracy of the ECG depends on the condition being tested. A heart problem may not always show up on the ECG. Some heart conditions never produce any specific ECG changes.
Ganz L. Electrocardiography. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 54.
Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.