Heart and Vascular Center

Electrocardiogram (ECG or EKG)

An electrocardiogram — abbreviated as EKG or ECG — is a test that measures the electrical activity of the heartbeat. With each beat, an electrical impulse (or “wave”) travels through the heart. This wave causes the muscle to squeeze and pump blood from the heart. A normal heartbeat on an ECG will show the timing of the top and lower chambers.

The right and left atria or upper chambers make the first wave called a “P wave" — following a flat line when the electrical impulse goes to the bottom chambers. The right and left bottom chambers or ventricles make the next wave called a “QRS complex." The final wave or “T wave” represents electrical recovery or return to a resting state for the ventricles.

An ECG provides two major kinds of information:

  • First, by measuring time intervals on the ECG, your doctor can determine how long the electrical wave takes to pass through the heart. Finding out how long a wave takes to travel from one part of the heart to the next shows if the electrical activity is normal or slow, fast or irregular.
  • Second, by measuring the amount of electrical activity passing through the heart muscle, a cardiologist may be able to find out if parts of the heart are too large or are overworked.

There’s no pain or risk associated with having an electrocardiogram. The machine only records the ECG. It does not send electricity into the body. When the ECG stickers are removed, there may be some minor discomfort.