Điện tâm đồ là một xét nghiệm đơn giản, không đau để đo hoạt động điện của tim. Nó còn được gọi là ECG hoặc EKG. Mỗi nhịp tim được kích hoạt bởi một tín hiệu điện bắt đầu từ đỉnh tim của bạn và đi đến đáy. Các vấn đề về tim thường ảnh hưởng đến hoạt động điện của tim. Bác sĩ có thể đề nghị đo điện tâm đồ nếu bạn gặp phải các triệu chứng hoặc dấu hiệu có thể gợi ý vấn đề về tim, bao gồm:
- đau ở ngực
- khó thở
- cảm thấy mệt mỏi hoặc yếu đuối
- đập thình thịch, hay rung động trái tim bạn
- một cảm giác rằng trái tim đập không đều
- phát hiện âm thanh bất thường khi bác sĩ lắng nghe trái tim của bạn
Điện tâm đồ sẽ giúp bác sĩ xác định nguyên nhân gây ra các triệu chứng của bạn cùng với loại điều trị nào có thể cần thiết.
Nếu bạn từ 50 tuổi trở lên hoặc nếu bạn có tiền sử gia đình mắc bệnh tim, bác sĩ cũng có thể yêu cầu đo điện tâm đồ để tìm các dấu hiệu sớm của bệnh tim.
Điều gì xảy ra trong khi đo điện tâm đồ?
Điện tâm đồ nhanh, không đau và vô hại. Sau khi bạn thay áo choàng, kỹ thuật viên gắn 12 đến 15 điện cực mềm bằng gel vào ngực, cánh tay và chân của bạn. Kỹ thuật viên có thể phải cạo các khu vực nhỏ để đảm bảo các điện cực dính đúng vào da của bạn. Mỗi điện cực có kích thước bằng một phần tư. Các điện cực này được gắn vào dây dẫn điện (dây điện), sau đó được gắn vào máy EKG.
Trong quá trình thử nghiệm, bạn sẽ cần nằm yên trên bàn trong khi máy ghi lại hoạt động điện của tim và đặt thông tin lên biểu đồ. Hãy chắc chắn nằm yên nhất có thể và thở bình thường. Bạn không nên nói chuyện trong khi kiểm tra.
Sau thủ tục, các điện cực được loại bỏ và loại bỏ. Toàn bộ thủ tục mất khoảng 10 phút.
Các loại điện tâm đồ
Điện tâm đồ ghi lại hình ảnh hoạt động điện của tim trong thời gian bạn được theo dõi. Tuy nhiên, một số vấn đề về tim đến và đi. Trong những trường hợp này, bạn có thể cần theo dõi lâu hơn hoặc chuyên sâu hơn.
Kiểm tra căng thẳng
Một số vấn đề về tim chỉ xuất hiện trong khi tập thể dục. Trong quá trình kiểm tra căng thẳng , bạn sẽ có EKG trong khi bạn tập thể dục. Thông thường, bài kiểm tra này được thực hiện trong khi bạn đang đi trên máy chạy bộ hoặc xe đạp đứng yên.
Màn hình Holter
Còn được gọi là máy theo dõi ECG hoặc EKG cấp cứu, máy theo dõi Holter ghi lại hoạt động của tim bạn trong vòng 24 đến 48 giờ trong khi bạn duy trì nhật ký hoạt động để giúp bác sĩ xác định nguyên nhân gây ra các triệu chứng của bạn. Các điện cực được gắn vào thông tin ghi lại ngực của bạn trên một màn hình di động, chạy bằng pin mà bạn có thể mang theo trong túi, trên thắt lưng hoặc trên dây đeo vai.
Ghi sự kiện
Các triệu chứng không xảy ra rất thường xuyên có thể yêu cầu một máy ghi sự kiện. Nó tương tự như màn hình Holter, nhưng nó ghi lại hoạt động điện của tim bạn ngay khi có triệu chứng. Một số bộ ghi sự kiện kích hoạt tự động khi họ phát hiện các triệu chứng. Trình ghi sự kiện khác yêu cầu bạn nhấn nút khi bạn cảm thấy các triệu chứng. Bạn có thể gửi thông tin trực tiếp đến bác sĩ của bạn qua một đường dây điện thoại.
Những rủi ro có liên quan?
Có rất ít, nếu có, rủi ro liên quan đến EKG. Một số người có thể bị phát ban da nơi đặt điện cực, nhưng điều này thường biến mất mà không cần điều trị.
Những người trải qua một bài kiểm tra căng thẳng có thể có nguy cơ bị đau tim, nhưng điều này có liên quan đến bài tập, không phải EKG.
Điện tâm đồ chỉ đơn giản là theo dõi hoạt động điện của tim bạn. Nó không phát ra bất kỳ điện và hoàn toàn an toàn.
Sẵn sàng cho EKG của bạn
Tránh uống nước lạnh hoặc tập thể dục trước EKG của bạn. Uống nước lạnh có thể gây ra những thay đổi trong các mẫu điện mà xét nghiệm ghi lại. Tập thể dục có thể làm tăng nhịp tim của bạn và ảnh hưởng đến kết quả kiểm tra.
Giải thích kết quả của EKG
Nếu EKG của bạn cho thấy kết quả bình thường, bác sĩ của bạn có thể sẽ đi qua chúng với bạn trong lần tái khám.
Bác sĩ sẽ liên lạc với bạn ngay lập tức nếu EKG của bạn có dấu hiệu của các vấn đề sức khỏe nghiêm trọng.
Điện tâm đồ có thể giúp bác sĩ xác định xem:
- tim đập nhanh, tim đập chậm hoặc không đều
- bạn đang bị đau tim hoặc trước đây bạn bị đau tim
- bạn bị dị tật tim, bao gồm tim to, thiếu lưu lượng máu hoặc dị tật bẩm sinh
- bạn có vấn đề với van tim
- bạn bị tắc động mạch, hoặc bệnh động mạch vành
Bác sĩ sẽ sử dụng kết quả đo điện tâm đồ của bạn để xác định xem có loại thuốc hay phương pháp điều trị nào có thể cải thiện tình trạng tim của bạn hay không.
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