An ECG should be performed in gynecological settings under the following circumstances:
Pre-existing Heart Conditions: Women with known heart diseases or symptoms such as chest pain, palpitations, or shortness of breath should have an ECG. High-risk Pregnancies: Pregnant women with conditions like hypertension, diabetes, or a history of preeclampsia. Surgical Procedures: Prior to performing major surgeries such as hysterectomy or ovarian surgery. New Symptoms: If a patient presents with new cardiovascular symptoms during routine gynecological evaluations.