concept

electrocardiogram

A recording of the heart's electrical activity, used to detect rhythm abnormalities.
27 related articles

Description

An electrocardiogram (ECG or EKG) is a recording of the electrical activity of the heart over time, obtained by placing electrodes on the skin. Each heartbeat generates a characteristic waveform — the P wave, QRS complex, and T wave — corresponding to the depolarization and repolarization of the atria and ventricles. Clinicians use ECGs to diagnose arrhythmias, heart attacks, electrolyte imbalances, and other cardiac conditions, making it one of the most widely used medical tests worldwide.

History

The first human electrocardiogram was recorded by Augustus Waller in 1887, but the modern clinical ECG was developed by Willem Einthoven in the early 1900s, who also introduced the standard limb leads and the PQRST nomenclature.

How it works

The heart's electrical activity originates in the sinoatrial node, a natural pacemaker that sends a wave of depolarization through the cardiac muscle. This electrical signal spreads through body tissues and reaches the skin, where electrodes detect tiny voltage differences (on the order of millivolts). The ECG machine amplifies and filters these signals, displaying them as a voltage-versus-time trace. Abnormalities in the timing or shape of the waveform reveal underlying issues — for example, a prolonged QT interval indicates a risk of dangerous arrhythmias.

In practice

ECGs are used in hospitals, ambulances, and wearable devices (smartwatches) to monitor heart rhythm, detect silent heart attacks, and guide treatment of conditions like atrial fibrillation.

Fun fact

A single ECG recording contains about 1,000 data points per second, yet a trained cardiologist can spot a life-threatening arrhythmia in under 10 seconds.

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Related articles · 27

Machine Learning2026-08-192 minarXiv:2608.18451express
A Cardiograph That Isn't Afraid of Noise
An electrocardiogram is like a recording of a conversation where the heart whispers and a construction site roars in the background. Atrial fibrillation, where the atria quiver instead of contracting, changes that whisper almost imperceptibly.
Instrumentation2026-08-181 minarXiv:2608.17842express
Counting to One: How a Camera Catches Light One Particle at a Time
Catching light one particle at a time is like hearing a whisper in a roaring factory. An electron-multiplying camera (EMCCD) can do exactly that: it turns a single photon hitting a pixel into an avalanche of electrons that can be measured. These cameras are mounted on telescopes to spot a barely visible planet next to a dazzling star.
Signal Processing2026-08-152 minarXiv:2608.14973express
Heartbeat Under the Microscope of Time
A doctor places a stethoscope on the chest and listens: lub-dub, lub-dub. The rhythm is there, but how do you measure it when it's noisy around and the patient can't lie still? Conventional devices look for sharp peaks in the heartbeat recording, like catching hammer blows. But if the hammer hits a pillow instead of an anvil, the peaks blur and the device gets lost. CORAL, the new method, works differently.
Medical Physics2026-06-282 minarXiv:2606.29634express
Catheter and Map in One Tube
The heart sometimes loses its rhythm, like an orchestra where the violins suddenly start playing each on their own. Cardiologists in such cases look for the "out-of-tune" areas by reading the heart's electrical signals and precisely ablating them with a thin probe — a catheter.
86,000 Hours of Brain Signals: Now Just One Click Away
The open archives OpenNeuro and NEMAR hold 791 recordings of the brain's electrical activity from nearly forty thousand people. In total, that's 86,051 hours of signals — roughly ten years of continuous listening. Previously, to take even one such recording off the shelf, you had to write thousands of lines of code: download, unzip, fix format errors, and slice it into chunks of the desired length.
How the Brain and Heart Drift Apart in the Final Minutes
When the conductor leaves the orchestra, the musicians keep playing from memory for a while. But without a unified rhythm, each one starts to speed up or slow down on their own, and the harmonious symphony turns into disjointed noise. According to new research, the brain and heart behave much the same way in the last hours of a person's life.
q-bio.TO2026-05-012 minarXiv:2605.01083express
How a Cell Transplant Can Set the Heart's Pace
After a heart attack, the dead section of heart muscle can be replaced with living cells grown from stem cells. But a common problem arises: the fresh transplant starts acting as its own pacemaker, and the heart falls out of its proper rhythm. Doctors see the arrhythmia on an ECG, but what exactly happens at the junction between 'self' and 'foreign' remains hidden.
Machine Learning2026-04-252 minarXiv:2604.23385express
ECG Learns to See the Heart Like Ultrasound
The heart beats like a drum in the next room: from the rhythm and the dullness of the thump, an experienced physician can guess whether there’s an enlarged chamber, a thickened wall, or a valve flapping out of sync. But to see it for sure, the patient lies on a couch while a probe glides across the chest — echocardiography (heart ultrasound).
Ringing in the Ears: How the Brain Gives Itself Away on an EEG
A person hears a ringing that isn't there. The doctor asks them to describe it — loudness, pitch, persistence. But it's subjective: one might say "like a mosquito," another "like steam from a kettle." We need a way to see tinnitus directly, in the brain itself.
q-bio.QM2026-04-182 minarXiv:2604.18634express
The Heart as a Map: Topology Reveals Hidden Patterns in Cardiac Rhythm
Each heartbeat can be drawn as a point on a sheet of paper. Thousands of these points merge into a cloud. The Mapper algorithm turns this cloud into a network: it connects points that behave similarly and colors them according to blood flow strength. The result is not just a pile of numbers but a colored map showing which parts of the heart work in sync and which are out of step.
Medical Physics2026-04-161 minarXiv:2604.14494express
A Ring That Feels Your Pulse
Your finger is a living sensor: beneath the skin, arteries pulse in time with your heart. Traditional blood pressure cuffs squeeze your arm and give a single number, but this ring uses eight electrodes to pass a weak current through the tissue and map blood flow.
Signal Processing2026-03-192 minarXiv:2603.18714express
Sleep by Cardiogram: How a Single ECG Lead Could Replace a Night in the Lab
You sleep, but your heart keeps telling stories. The rhythm of beats, the pauses between them, the respiratory waves — all shift from one sleep stage to the next. In a sleep lab, this is read from a host of sensors on the head, face, legs, and chest. It's cumbersome, expensive, and not something you can do at home.
Machine Learning2026-03-151 minarXiv:2603.14177express
A Palm-Sized ECG Catches Excess Potassium
Potassium in the blood is like salt in a soup: just a bit too much, and the heart starts to falter. Doctors usually monitor this mineral with blood draws from a vein, but for people with kidney disease or a weak heart, frequent lab visits become a ordeal.
Medical Physics2026-03-042 minarXiv:2603.03832express
A Heart in Your Hand: Seeing Arrhythmia Without Surgery
The heart doesn't contract all at once but as a wave: an electrical signal travels through the muscle, and behind it, like ripples spreading on water, a contraction rolls through. In arrhythmia, this wave goes awry: it stalls in one spot, loops in another, and the pump starts working in a disorganized way.
EEG Can't Tell Remission from Healthy
Depression is sometimes sought in the brain's electrical waves. The logic is simple: if a disease has stages (acute, maintenance, recovery) then the signals should change gradually, like volume when you turn a knob. Researchers took EEG recordings from 74 people: 24 in the acute phase, 23 in the maintenance phase, and 27 healthy.
Medical Physics2026-03-041 minarXiv:2603.04233express
A Heart Without Pauses: Movie of Every Beat
The heart beats irregularly. Standard MRI pretends all beats are the same: it stacks them on top of each other, like a photographer shooting a dancer with a long exposure. The result is a blurry smudge — pretty, but useless if you need to see each individual movement. The new approach films the heart like a video: frame by frame, with no gaps.
Applied Statistics2026-03-031 minarXiv:2603.02616express
How to Peek Inside the Heart Without a Pricey Ultrasound
An electrocardiogram is like a recording of an engine's hum: an experienced mechanic can hear when something's off. A heart ultrasound shows the engine itself from the inside, but the machine is pricey and specialists are scarce.
Signal Processing2026-02-281 minarXiv:2603.16891express
AI Reads Cardiograms Around the Clock
An electrocardiogram is like a long strip of paper on which the heart leaves its signature. A doctor studies it to catch rhythm disturbances, but when the recording lasts for days, the strip stretches for miles. The eye tires, attention wanders, and rare but dangerous irregularities can slip by. AI-HEART works like a tireless assistant that scans the entire strip without a break.
Medical Physics2026-02-221 minarXiv:2602.19264express
A Carpet of Heartbeats
The heart beats, and on a paper ECG strip, each beat looks like a sharp spike with two humps: a quick rise, then a smaller wave, then a descent. A doctor looks at such a strip and sees the rhythm, but the shape of each spike, how exactly the muscle contracted, is hard to discern, especially if the recording lasts a full day. This new method turns that strip into a colorful carpet.
Machine Learning2026-02-192 minarXiv:2602.17531express
ECG Without Rose-Colored Glasses
An ECG is not just a wavy line on paper. Like a diary, it records the state of the entire heart: rhythm, wall thickness, and hints of future problems. But currently, programs that learn to read this diary are trained on very narrow tasks — mostly detecting arrhythmias. That's like teaching someone to understand a book by showing them only a list of typos.
Machine Learning2026-01-311 minarXiv:2602.00526express
Breathing Turns into Sleep
At night, a person breathes, and the rhythm of that breathing can tell you a lot about their sleep. But usually, doctors look at the brain's electrical waves — recorded by sensors on the head. New work shows how to reconstruct those waves from breathing alone, without touching the head. The model acts as a translator from the language of the body to the language of the brain.
Machine Learning2026-01-312 minarXiv:2602.00670express
Emotions Under the Hood: How a Forest of Random Trees Reads the Brain
Every thought leaves a trace — a faint electrical blip on the scalp. A device with dozens of wires, resembling a swim cap, catches these traces and turns them into wavy lines. From those lines, you can guess what a person feels even if they stay silent. In a new study, three computer programs competed to see which could read such lines most accurately and determine whether the mood was bad, neutral, or good.
Optics2026-01-301 minarXiv:2602.00363express
Glowing Heart Cells
A heart cell in a Petri dish contracts, and at that moment, an electrical wave sweeps across its surface. Previously, to catch that wave, you had to poke the cell with an ultra-fine electrode needle. Now, you just look at it under a microscope. The method is called electrochromic recording.
Medical Physics2026-01-261 minarXiv:2601.18843express
Spin compass a thousand times more precise
Magnetic resonance is like a tuning fork that rings only at its own note. Each molecule has its own frequency, and from that you can tell what the molecule is and what state it's in. But previously, this tuning fork was listened to through a thick wall: the signal was blurred, and you couldn't make out the exact note.
q-bio.QM2026-01-152 minarXiv:2601.10202express
Seeing the Heart's Flicker in Two Mirrors at Once
The heart doesn't beat like a metronome but like a jazz drummer: sometimes it stumbles, skips beats, or races. Atrial fibrillation is one of the most insidious glitches: the atria quiver instead of contracting, and blood can pool, forming clots. Doctors catch this glitch on an ECG — a recording of the heart's electrical signals.
Machine Learning2026-01-011 minarXiv:2601.00192express
The Heart Under a Microscope: A Tiny Model Catches Arrhythmia in Half a Microsecond
An electrocardiogram is like a musical score, where each note is a heartbeat. A doctor hears the melody and spots the off-notes — arrhythmia. But listening to the score for hours is tiring, so a smart monitor is placed by the patient's bedside.