ECG Heart Rate Calculator

Work out heart rate from an ECG strip. Enter the number of boxes between two R waves — large boxes for the quick 300 method, small boxes for the precise 1500 method.

How to calculate heart rate on an ECG

Large boxesRate
1300
2150
3100
475
560
650

Learn the method in the ECG interpretation guide.

Frequently asked questions

How do you calculate heart rate on an ECG?

For a regular rhythm, divide 300 by the number of large boxes between two R waves; for more precision divide 1500 by the number of small boxes. For an irregular rhythm, count QRS complexes in a 6-second strip and multiply by 10.

What is the 300 method?

A quick way to read heart rate: 300 ÷ the number of large boxes between two R waves, giving the sequence 300, 150, 100, 75, 60, 50.

How do you find heart rate for an irregular rhythm?

Count the QRS complexes in a 6-second strip and multiply by 10.

Educational tool. These calculators are for study and RCIS exam preparation only — not for clinical decision-making or patient dosing. Always follow institutional protocols and verify with a qualified clinician.