Archive for June, 2010

Which Signals Are Measured by an EKG Machine?

Little more than a century ago, measuring the heart’s electrical signals to diagnose health issues was a distant concept. But ever since the electrocardiogram (EKG machine) was invented, doctors have been able to measure these signals by comparing their relative voltage to those of a healthy heart. This type of measurement is only possible because the body is able to conduct electricity and EKG machines are designed to pick up these signals.

By attaching electrodes to the surface of the body in specific areas, EKG machines can pick up the electrical signals that represent various phases of the heart’s rhythm. The first pulse that is measured is called the P wave, which picks up the electrical signal generated by the sinotrial node, or pacemaker, of the heart. The second and largest signal is the QRS complex, which represents the relaxing of the atria, followed by the contraction of the ventricles. Finally, the T wave measures the repolarization of the ventricles. Each of these signals can be studied independently or in concert with the others to detect a variety of cardiac issues.

The data generated by EKG machines can help doctors detect several problems related the heart’s function. These include the heart rate, the presence of hypertension, the heart’s chemical balance, damage to certain areas of the heart, and arrhythmias. Additionally, by looking at a depression between the S and T waves, EKGs can observe and diagnose an arterial obstruction. EKG machines known as Holter monitors are designed to make these detections.
An electrocardiogram test is often performed for the first time at a physician’s office as part of a routine physical work-up, but it is more commonly seen in the field of cardiology. While other forms of cardiac testing have been introduced in the past several decades, the EKG machine is still heavily relied upon throughout the medical community.

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EKG Machines: Measuring the Processes of the Heart

Many healthcare professionals use EKG machines every day, but they know very little about how these diagnostic machines work. Learning more about the mechanics of EKG machines helps medical centers and clinicians make more educated decisions about the purchase and maintenance of these machines.

An electrocardiogram (ECG or EKG) machine graphically records the electrical impulses of the heart muscles, and it is used to identify abnormal heart rhythms. Initially introduced in the early 1900’s, it has become an invaluable device in medical diagnostics.

Basically, EKG machines function by reading the electrical signals produced by the heart’s four chambers, which are made up of two pumps. The left pump takes blood from the lungs and distributes it to the rest of the body, while the right pump receives the blood returning from the body and sends it back to the lungs. When the atrium accepts incoming blood, it contracts, transferring the blood to the ventricles, which then pump blood away from the heart.

This whole pumping process depends on the heart’s sinotrial node, or pacemaker region, which is located in the right atrium. Here, an electrical impulse diffuses various ions across the cell’s membranes. It is this impulse that causes the atria to contract and push blood to the right and left ventricles. All of this occurs within milliseconds, so it is crucial that the heart’s impulses are functioning properly. By measuring the intensity and rhythm of these electrical impulses, an EKG machine can quickly recognize irregularities that may cause the heart to malfunction, or misfire.
Because it is able to recognize potential problems with the electrical impulses of the heart, regular EKG testing is an essential part a cardiac health assessment.

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What is the difference between an EKG and an Echocardiogram?

Many patients make the mistake of thinking an echocardiogram and EKG tests are one and the same, but that is not the case. While their formal names may sound the same – electrocardiogram machines and echocardiogram machines each perform a unique test on the patient’s heart.

An EKG machine uses small electrodes that attach to a patient’s arms, legs and chest to record the electrical activity in the heart. It can detect heart rhythms that are either too fast or too slow, as well as arrhythmia and conditions like cardiomyopathy.

An echocardiogram machine takes an ultrasound of the heart by measuring the reverberated sound waves as they bounce off of the structure of the heart muscle. Many doctors find the results of an echo more valuable because it gives them a real-time view of the heart.

Instead of producing an image of the heart, an EKG machine graphs the electrical impulses of the heart to diagnose the presence of cardiovascular disease. Because electrical disturbances within the heart will not be anatomically detectable in an echocardiogram, EKG testing provides doctors with valuable information about the rhythms of the heart.

On the other hand, echocardiography shows the physical characteristics of the heart on a video screen, based on the recorded ultrasound waves that reflect back to the probe. It allows doctors to visualize certain cardiac pathologies that may have only been implied by the EKG machine. By directly visualizing each of the heart’s chambers, an echocardiogram can detect enlargement of the heart, abnormal septal motion and various other structural disorders.

EKG machines and echocardiograms are distinct and complementary diagnostic tests, and are not competitive with one another. When a patient exhibits signs of heart disease, most doctors will order both tests.

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