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Electrocardiography is the process of producing an electrocardiogram , a recording of the heart's electrical activity. It is an electrogram of the heart which is a graph of voltage versus time of the electrical activity of the heart using electrodes placed on the skin. These electrodes detect the small electrical changes that are a consequence of cardiac muscle depolarization followed by repolarization during each cardiac cycle. Changes in the normal ECG pattern occur in numerous cardiac abnormalities, including cardiac rhythm disturbances , inadequate coronary artery blood flow , and electrolyte disturbances.

Traditionally, "ECG" usually means a 12-lead ECG taken while lying down as discussed below. However, other devices can record the electrical activity of the heart such as a Holter monitor but also some models of smartwatch are capable of recording an ECG. ECG signals can be recorded in other contexts with other devices.

In a conventional 12-lead ECG, ten electrodes are placed on the patient's limbs and on the surface of the chest. The overall magnitude of the heart's electrical potential is then measured from twelve different angles and is recorded over a period of time. In this way, the overall magnitude and direction of the heart's electrical depolarization is captured at each moment throughout the cardiac cycle.

There are three main components to an ECG: the P wave, which represents depolarization of the atria; the QRS complex, which represents depolarization of the ventricles; and the T wave, which represents repolarization of the ventricles.

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