Six Second Count

Perhaps the simplest and most common method to determine heart rates involves multiplying the number of QRS complexes found over six seconds by a factor of 10 to get the number of QRS complexes in a minute (60 seconds). Figure 4.19 provides an ECG over a six second period. What is the heart rate per minute for this rhythm strip?

Simple stuff. This method – call it the six second count – works well whether the rhythm is regular or irregular. Mind you, if the rhythm is grossly irregular, a longer rhythm strip may produce a more accurate heart rate i.e. 15 seconds of QRS complexes multiplied by 4. Note that the six second count also works well for slow rhythms.

Figure 4.19 The 6 Second Count Method to Determine Heart Rate.

8 QRS complexes in 6 seconds x 10 = 80 QRS complexes/minute

1. Six Second ECG Guidebook (2012), T Barill, p. 92

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Reference materials included
Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
Acute Coronary Syndromes In-Depth
ST Segment & T Wave Differential
Identify Bundle Branch Blocks
15 | 18 Lead View Mapping
Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
Special Cases

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