
Electrocardiogram (ECG or EKG) in New Jersey
An electrocardiogram (ECG or EKG) is one of the most commonly performed cardiac tests — and one of the most valuable. At Cross County Cardiology, our board-certified cardiologists use ECGs to rapidly assess your heart’s electrical activity and detect a wide range of conditions, from arrhythmias to signs of a prior heart attack. We offer same-week appointments across our five Northern New Jersey locations.
What Is an Electrocardiogram?
An electrocardiogram records the electrical signals that trigger each heartbeat. Using electrodes placed on the skin of the chest, arms, and legs, an ECG captures the timing and strength of these signals as a series of waveforms. The entire procedure is painless, non-invasive, and takes less than 10 minutes. No radiation is involved.
Each waveform on the ECG — labeled P, QRS, and T — corresponds to a specific phase of the cardiac cycle. Abnormalities in these waveforms can reveal a great deal about the health and function of the heart muscle, valves, and conduction system.
Why Would a Cardiologist Order an ECG?
Your cardiologist may recommend an ECG if you are experiencing:
- Chest pain or pressure
- Heart palpitations or an irregular heartbeat
- Shortness of breath at rest or with exertion
- Dizziness, lightheadedness, or fainting episodes
- Fatigue that is unexplained or worsening
- Swelling in the legs or ankles
ECGs are also performed as part of routine cardiac screening, pre-operative evaluations, and monitoring for patients on cardiac medications or with known heart disease.
What Can an ECG Detect?
An electrocardiogram provides diagnostic information across a broad range of cardiac conditions, including:
Arrhythmias
Abnormal heart rhythms — including atrial fibrillation, atrial flutter, supraventricular tachycardia, and ventricular arrhythmias — are often identified or confirmed on an ECG. The test captures rate, regularity, and the origin of each heartbeat.
Coronary Artery Disease and Ischemia
ST-segment and T-wave changes on an ECG may indicate reduced blood flow to the heart muscle (myocardial ischemia), which can occur during exertion or at rest in patients with coronary artery disease.
Prior Myocardial Infarction
Q waves and other ECG patterns can reveal evidence of a previous heart attack, even in patients who were unaware they had one.
Conduction Abnormalities
Bundle branch blocks, prolonged QT intervals, and other conduction system abnormalities are diagnosed via ECG. Some of these findings require monitoring or treatment to prevent dangerous arrhythmias.
Structural Changes
Left or right ventricular hypertrophy — enlargement of the heart chambers — can produce characteristic ECG changes that prompt further evaluation with an echocardiogram.
Types of ECG Testing We Offer
At Cross County Cardiology, we perform both resting and ambulatory ECG studies depending on your clinical needs:
Resting ECG
The standard 12-lead ECG performed in-office while you lie still. Results are available immediately and reviewed directly by your cardiologist during your visit.
Holter Monitor
A continuous 24- to 48-hour ECG recording worn during your normal daily activities. Ideal for capturing intermittent arrhythmias that may not appear on a short resting ECG.
Event Monitor
A longer-term recording device worn for up to 30 days that captures ECG data when you activate it during symptoms — or automatically when it detects an abnormal rhythm.
Schedule Your ECG Consultation in New Jersey
If you have been referred for an ECG or are experiencing cardiac symptoms, our team is ready to help. Cross County Cardiology serves patients across Hudson and Bergen County with convenient locations in Edgewater, Hoboken, North Bergen, and surrounding areas.
Call us at (551) 373-9007 or contact us online to schedule your appointment. Same-week availability is often possible.
