What is an ECG – and why is it done?

An ECG (electrocardiogram) is a test that records the electrical activity of your heart; including the rate, rhythm and direction of electrical impulses. It’s quick and painless, and carries no risk.

Why is it done?

You will usually have an ECG (electrocardiogram) if a doctor (or health professional) thinks you are having symptoms of:

  • Heart attack (myocardial infarction, MI)
  • Angina – this is a cramp of the heart muscle that can a warning sign of a heart attack
  • Arrthythmia – problems with how quickly or regularly your heart beats (arrhythmia) – e.g. atrial fibrillation (AF)
  • Heart failure – looking for the cause
  • Pericarditis – a heart inflammation.

You also may have an ECG

  • Before an operation – to check you are well enough to have it
  • Before and whilst taking certain medicines.

Preparing for an ECG (electrocardiogram)

There are some things you can do to help you prepare for an ECG (electrocardiogram), such as:

  • Wearing a top that is easy to take on and off
  • Not putting body lotions etc on your skin before the test
  • Not eating a heavy meal or having caffeine before an exercise ECG (stress test)

Some men may also need to have their chest partly shaved and cleaned before the test.