Confirm the heart rate interpreted by the ECG machine, as it can be wrong!
Regular rhythms (constant R-R interval)
300, 150, 100, 75, 60, 50, 43, 37, 33...
Atrial rate (bpm) = 300/# of large boxes between P waves
Ventricular rate (bpm) = 300/# of large boxes between R waves
If not a whole number, estimate it or calculate as: 1500/# of small boxes
Irregular or slow rhythms
Count the number of QRS complexes that appear in 6 seconds (2 consecutive 3-second markers) X 10
Count the number of QRS complexes that appear in 10 seconds X 6