ECG Interpretation Cheat Sheet

Every number and pattern you need on one page — bookmark or print it for quick reference while you learn to read ECGs.

🩺 Reviewed by our Editorial Team⏱ 2 min read🗓 Updated July 2026

Grid & calibration

ItemValue
Paper speed25 mm/s
Small box (width)0.04 s
Large box (width)0.20 s
Voltage10 mm = 1 mV

Rate methods

MethodFormula
300 method (regular)300 ÷ large boxes between R waves
1500 method1500 ÷ small boxes between R waves
6-second method (irregular)QRS in 6 s × 10
Sequence300, 150, 100, 75, 60, 50

Normal intervals

IntervalNormal
PR0.12–0.20 s
QRS< 0.12 s
QTc< 0.44 s

Rhythm hallmarks

RhythmHallmark
Normal sinusP before every QRS, 60–100, regular
Atrial fibrillationIrregularly irregular, no P waves
Atrial flutterSawtooth flutter waves
SVTNarrow, regular, fast (150–250)
VTWide, regular, fast
VFibChaotic, no organised complexes → defibrillate
Complete heart blockP and QRS dissociated

AV blocks

BlockHallmark
First-degreePR > 0.20 s, all conducted
Mobitz IPR lengthens, then drops a beat
Mobitz IIConstant PR, sudden dropped beat
Third-degreeComplete AV dissociation

STEMI lead groups

LeadsWallArtery
II, III, aVFInferiorRCA
V1–V2SeptalLAD
V3–V4AnteriorLAD
I, aVL, V5–V6LateralCircumflex

See the full method in the ECG interpretation guide.

Lock it in with practice

Turn the cheat sheet into recall with free ECG questions.

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Frequently asked questions

What should be on an ECG cheat sheet?

The grid/calibration, rate-calculation methods, normal intervals (PR, QRS, QTc), rhythm hallmarks, AV-block patterns, and the STEMI lead groups.

What are the normal ECG values to memorise?

PR 0.12–0.20 s, QRS under 0.12 s, QTc under 0.44 s, and a rate of 60–100 bpm.

Can I print this ECG cheat sheet?

Yes — the page is plain tables designed to print or bookmark for quick reference.

Sources & further reading

External links are provided for reference; always confirm current details with the official source.

RCIS Practice Test Editorial Team

Our content is written and reviewed by contributors with cardiovascular and allied-health backgrounds, grounded in standard references and the official CCI exam domains. Educational use only — not medical advice. See our editorial policy.