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EKGs can be ordered as a one-time test, or can be continuously monitored in the case of patients wearing a holter monitor and/or admitted to a telemetry unit. EKGs provide information about heart rate, heart rhythms and provide some data on underlying myocardium, valves and coronary vessels.
Doctors conduct an electrophysiology study in the hospital's cardiac catheterization laboratory. The next step is pacing the heart, this means he/she will speed up or slow down the heart by placing the electrode at certain points along the conductive pathways of the heart and control the depolarization rate of the heart.
Using their broader training, physicians in electrodiagnostic medicine, often perform more detailed evaluations which may include laboratory tests, CT or MRI scans, genetic evaluation, biopsy of nerve, skin, or muscle, or perform neuromuscular ultrasound. A more complete listing of disorders and testing can be found under neuromuscular medicine.
An electromyogram (EMG) is an electrical recording of the activity of a muscle or muscle group. An EMG study can be combined with a nerve conduction study to diagnose neuromuscular diseases such as peripheral neuropathy and amyotrophic lateral sclerosis .
A normal ECG does not rule out acute myocardial infarction. Mistakes in interpretation are relatively common, and the failure to identify high risk features has a negative effect on the quality of patient care. [12] It should be determined if a person is at high risk for myocardial infarction before conducting imaging tests to make a diagnosis ...
Yet heart problems often produce no symptoms until very advanced, and many symptoms, such as palpitations and sensations of extra or missing heart beats correlate poorly with relative heart health vs disease. Hence, a history alone is rarely sufficient to diagnose a heart condition.
The test can also detect heart abnormalities such as arrhythmias, and conditions affecting electrical conduction within the heart such as various types of fascicular blocks. [3] A "normal" stress test does not offer any substantial reassurance that a future unstable coronary plaque will not rupture and block an artery, inducing a heart attack ...
Other tests may include an electrocardiogram (ECG) to measure the heart's electrical activity, and blood tests to check for elevated levels of certain enzymes that may indicate heart damage. [8] If the diagnosis is confirmed, treatment typically involves stopping alcohol consumption and managing heart failure symptoms through medications ...
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