Cardiologist Questions Arrhythmia

Can arrhythmia be diagnosed with an ECG?

My doctor suspects that I have arrhythmia and told me to have an ECG test. Can arrhythmia be diagnosed with an ECG?

14 Answers

Yes. If it is persistent.
Yes it can.
Yes if it is occurring during the test. Most patients will require a holter or some other type of monitor that's in place for a few days depending on the frequency. Long-term monitors such as implantable loop recorders which can track you up to 2 years.
An EKG is an important tool for your doctor to diagnose heart block, bundle branch block and other suttle anomalies, but unless you are having frequent arrhythmias, it may miss atrial or ventricular arrhythmias outside of the brief EKG recording. Your doctor may have a Holter monitor or patch recorder ordered if they are concerned.
You need to have a holter monitor, exercise stress test is a very good tool to make sure you do not have coronary heart disease.
Depends whether the arrhythmia is constant or paroxysmal.An ECG will do nicely for the former and a prolonged scan or loop recorder may be needed for the latter
Sometimes, but often longer time periods of cardiac monitoring are needed ranging from 24 hours to 2 weeks or longer.
Yes, routine EKG yield is low. May need further testing with cardiac monitor (Holter Event recorder or loop recorder).
YES. If the EKG is taken when the patient has arrhythmia, it can be diagnosed.
Sometimes. You may need a long-term (24 Hrs or more) rhythm recorder, one of which is called a Holter Monitor.
Some arrhythmiashy may be diagnosed with an EKG. This is possible when the arrhythmia is present continuously. However, many arrhythmias are sporadic. This type of arrhythmia occurs and then resolve spontaneously not to recur for again for days, weeks, or months. These types of arrhythmia are very hard to document with an EKG because the vast majority the time patients with paroxysmal arrhythmias are in a normal rhythm.

Dr. Chavira
Yes, arrhythmia can be diagnosed with an ECG. But Holter monitor or Event Monitor can diagnose better and in more detail.
Thanks.
Yes, as long as palpitation episode is experienced during ECG monitoring.
Some arrhythmia can however arrhythmia can come and go so they may be missed by ecg. If your ecg is normal ask for a holter monitor. This is a portable ecg monitor you wear for at least 24 hours and up to a few weeks. This should pick up any abnormalities