ECG Paper

An ECG is a graphical display of electrical energy generated by the heart over time. ECG graph paper records this cardiac electrical activity, printing at a rate of 25 mm/second. The paper graph is divided into small 1 mm squares with thicker lines present every 5 mm. It follows then that the width of an ECG tracing is a measurement of time.

Cardiac monitors usually offer two mediums to help identify ECGs: the dynamic ECG viewed on the monitor’s display screen and the static ECG printed on paper. While the screen of a cardiac monitor is useful for recognizing and interpreting rhythms, printing out the ECG on specialized paper provides a much more robust electrical picture of the heart. ECG paper allows for concise measuring of rates, intervals, segments and waveforms.

An ECG is a graphical display of electrical energy generated by the heart over time. ECG graph paper records cardiac electrical activity at a rate of 25 mm/second. The paper is divided into small 1 mm squares with thicker lines every 5 mm.

It follows then that the width of an ECG tracing is a measurement of time. For example, a horizontal accumulation of 25 small 1 mm squares measures electrical activity over one second (as does 5 large squares produced by the thick lines). A six second strip contains a cross-section of 150 small 1 mm squares (6 seconds x 25 small squares/second) or 30 large squares.

Most brands of ECG paper also include hash marks that extend the thicker vertical lines to provide a visual reference for periods of one second and three seconds. This is depicted in Figure 4.8. These hash marks occupy either the top or bottom of the ECG paper strip.

The height (amplitude) measures electrical voltage. If calibrated properly, a waveform with a height of 10 mm equals 1 millivolt. The comparative height or depth of waveforms can yield significant insight about the heart (i.e. ischemia monitoring).

Figure 4.8 ECG Paper and the Measurement of Time

Figure 4.8 provides details of ECG paper. Note the larger hash marks that indicate 3 second intervals. Two 3 seconds intervals (6 seconds) is often used to determine heart rate.

1. Six Second ECG Guidebook (2012), T Barill, p. 73-74

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