Which patient would benefit from ecg monitoring due to an electrolyte imbalance?

Overview

An electrocardiogram records the electrical signals in the heart. It's a common and painless test used to quickly detect heart problems and monitor the heart's health.

An electrocardiogram — also called ECG or EKG — is often done in a health care provider's office, a clinic or a hospital room. ECG machines are standard equipment in operating rooms and ambulances. Some personal devices, such as smartwatches, offer ECG monitoring. Ask your health care provider if this is an option for you.

Types

  1. Holter monitor
  2. Implantable loop recorder: A heart monitoring device

Why it's done

An electrocardiogram is a painless, noninvasive way to help diagnose many common heart problems. A health care provider might use an electrocardiogram to determine or detect:

  • Irregular heart rhythms (arrhythmias)
  • If blocked or narrowed arteries in the heart (coronary artery disease) are causing chest pain or a heart attack
  • Whether you have had a previous heart attack
  • How well certain heart disease treatments, such as a pacemaker, are working

You may need an ECG if you have any of the following signs and symptoms:

  • Chest pain
  • Dizziness, lightheadedness or confusion
  • Heart palpitations
  • Rapid pulse
  • Shortness of breath
  • Weakness, fatigue or a decline in ability to exercise

The American Heart Association doesn't recommend using electrocardiograms to assess adults at low risk who don't have symptoms. But if you have a family history of heart disease, your health care provider might suggest an electrocardiogram as a screening test, even if you have no symptoms.

If symptoms tend to come and go, they may not be detected during a standard ECG recording. A health care provider might recommend remote or continuous ECG monitoring. There are several different types.

  • Holter monitor. A Holter monitor is a small, wearable device that records a continuous ECG, usually for 24 to 48 hours.
  • Event monitor. This portable device is similar to a Holter monitor, but it records only at certain times for a few minutes at a time. You can wear it longer than a Holter monitor, typically 30 days. You generally push a button when you feel symptoms. Some devices automatically record when an irregular rhythm is detected.

Which patient would benefit from ecg monitoring due to an electrolyte imbalance?
ECG on medical helicopter

A person receives an ECG while on a helicopter for medical transport.

More Information

  • Electrocardiogram (ECG or EKG) care at Mayo Clinic
  • Ejection fraction: What does it measure?
  • Acute coronary syndrome
  • Angina
  • Anorexia nervosa
  • Aortic valve regurgitation
  • Aortic valve stenosis
  • ARDS
  • Arteriosclerosis / atherosclerosis
  • Atrial fibrillation
  • Atrial flutter
  • Atrial septal defect (ASD)
  • Bradycardia
  • Broken heart syndrome
  • Bulimia nervosa
  • Bundle branch block
  • Cardiogenic shock
  • Cardiomyopathy
  • Coarctation of the aorta
  • Congenital heart defects in children
  • Congenital heart disease in adults
  • Coronary artery disease
  • Diabetic ketoacidosis
  • Dilated cardiomyopathy
  • Dressler syndrome
  • Ebstein anomaly
  • Eisenmenger syndrome
  • Endocarditis
  • Enlarged heart
  • Heart arrhythmia
  • Heart attack
  • Heart disease
  • Heart murmurs
  • Hyperparathyroidism
  • Hypertrophic cardiomyopathy
  • Hypoparathyroidism
  • Kawasaki disease
  • Left ventricular hypertrophy
  • Long QT syndrome
  • Low blood pressure (hypotension)
  • Mitral valve disease
  • Mitral valve prolapse
  • Mitral valve regurgitation
  • Mitral valve stenosis
  • Multiple system atrophy (MSA)
  • Myocardial ischemia
  • Myocarditis
  • Noonan syndrome
  • Orthostatic hypotension (postural hypotension)
  • Panic attacks and panic disorder
  • Patent ductus arteriosus (PDA)
  • Pectus excavatum
  • Pericardial effusion
  • Pericarditis
  • Premature ventricular contractions (PVCs)
  • Pulmonary atresia
  • Pulmonary atresia with intact ventricular septum
  • Pulmonary atresia with ventricular septal defect
  • Pulmonary edema
  • Pulmonary valve stenosis
  • Rheumatic fever
  • Secondary hypertension
  • Sick sinus syndrome
  • Sudden cardiac arrest
  • Tachycardia
  • Tetralogy of Fallot
  • Transposition of the great arteries
  • Tricuspid valve regurgitation
  • Tuberous sclerosis
  • Vasovagal syncope
  • Ventricular fibrillation
  • Ventricular septal defect (VSD)
  • Ventricular tachycardia
  • Wolff-Parkinson-White (WPW) syndrome

From Mayo Clinic to your inbox

Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health.

To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail.

Risks

An electrocardiogram is a safe procedure. There is no risk of electrical shock during the test because the electrodes used do not produce electricity. The electrodes only record the electrical activity of the heart.

You may have minor discomfort, similar to removing a bandage, when the electrodes are removed. Some people develop a slight rash where the patches were placed.

How you prepare

No special preparations are necessary for a standard electrocardiogram. Tell your health care provider about any medications and supplements you take. These can often affect the results of an ECG.

What you can expect

An electrocardiogram can be done in a health care provider's office or hospital.

Before

You may be asked to change into a hospital gown. If you have hair on the parts of your body where the electrodes will be placed, the care provider may shave the hair so that the patches stick.

Once you're ready, you'll typically be asked to lie on an examining table or bed.

During

During an ECG, up to 12 sensors (electrodes) are attached to the chest and limbs. The electrodes are sticky patches with wires that connect to a monitor. They record the electrical signals that make the heart beat. A computer records the information and displays it as waves on a monitor or on paper.

You can breathe during the test, but you will need to lie still. Make sure you're warm and ready to lie still. Moving, talking or shivering may interfere with the test results. A standard ECG takes a few minutes.

After

You can typically return to your usual activities after your electrocardiogram.

Results

Your health care provider might discuss results with you the same day as your electrocardiogram or at your next appointment.

ECG results can give a health care provider details about the following:

  • Heart rate. Usually, heart rate can be measured by checking the pulse. An ECG may be helpful if your pulse is difficult to feel or too fast or too irregular to count accurately. An ECG can help identify an unusually fast heart rate (tachycardia) or an unusually slow heart rate (bradycardia).
  • Heart rhythm. An ECG can detect irregular heartbeats (arrhythmias). An arrhythmia may occur when any part of the heart's electrical system doesn't work properly.
  • Heart attack. An ECG can show evidence of a previous heart attack or one that's currently happening. The patterns on the ECG may help determine which part of the heart has been damaged, as well as the extent of the damage.
  • Blood and oxygen supply to the heart. An ECG done while you're having symptoms can help your health care provider determine whether reduced blood flow to the heart muscle is causing the chest pain.
  • Heart structure changes. An ECG can provide clues about an enlarged heart, heart defects and other heart problems.

If results show a heart rhythm problem, you may need another ECG or other test, such as an echocardiogram. Treatment depends on what's causing your signs and symptoms.

Clinical trials

Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.

What electrolyte imbalance causes ECG changes?

Potassium. Potassium plays a key role in both depolarization and repolarization, which is why potassium imbalance may cause dramatic ECG changes.

How does electrolyte disturbance affect patient ECG?

Electrolyte Abnormalities on ECG Severe hypercalcemia and severe hypermagnesemia can induce heart block and possibly cardiac arrest, and hypomagnesemia has been associated with widening QRS or QT, peaked T waves, and premature ventricular contractions.

What electrolyte imbalance most often affects cardiac rhythm?

Electrolyte Imbalances According to the American Heart Association, potassium imbalances are the most common electrolyte-associated cardiac arrhythmias. Potassium plays a role in both nerve conduction and the heart's ability to send an electrical impulse.

Which electrolyte is important for heart rhythm?

The two most important electrolytes are potassium and calcium. They are both vitally concerned with proper function of the cardiac muscle. Both electrolytes are needed in the proper amounts for contraction of the muscle and for the proper conduction of ht impulses through the special conduction pathway in the heart.