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[[Image:ECGpapier.png|thumb| The width of a square on the ECG represents time]]
[[Image:ECGpapier.png|thumb| The width of a square on the ECG represents time]]
[[Image:Ecgfreq.png|thumb| The countmethod to determine the heartfrequency. The second QRS-complex is between ''75'' and ''60'' beat per minute. This heartbeat is between that, around 65 beats per minute.]]
[[Image:Ecgfreq.png|thumb| The countmethod to determine the heartfrequency. The second QRS-complex is between ''75'' and ''60'' beat per minute. This heartbeat is between that, around 65 beats per minute.]]
{| class="wikitable" font-size="90%" align="right"
|- style="text-align:center;background-color:#6EB4EB;"
|+'''The 'square counting' method can be finetuned with the following sequence'''
|-
|'''300'''||250||214||187||167||'''150'''||136||125||115||107||'''100'''||94||88||83||79||'''75'''||71||68||65||62||'''60'''
|-
|}


To anwer this question, determine the time between two QRS complexes. Previously, the ECG was registered on a paperstrip transported through an ECG writer at the speed of 25 mm/second. Nowadays, digital ECG registration is common however, the method of determining the frequency remains the same. The ECG paper has a grid with thick lines 5 mm apart (= 0,20 second) and thin lines 1 mm (0,04 second).  
To anwer this question, determine the time between two QRS complexes. Previously, the ECG was registered on a paperstrip transported through an ECG writer at the speed of 25 mm/second. Nowadays, digital ECG registration is common however, the method of determining the frequency remains the same. The ECG paper has a grid with thick lines 5 mm apart (= 0,20 second) and thin lines 1 mm (0,04 second).  
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# Non regular rhytms are best determined with the "3 second marker method" Count the number of QRS-complexes that fit in 3 seconds (some ECG writers register this period on the ECG paper). Multiply this number by 20 and find the number of beats/minute.  
# Non regular rhytms are best determined with the "3 second marker method" Count the number of QRS-complexes that fit in 3 seconds (some ECG writers register this period on the ECG paper). Multiply this number by 20 and find the number of beats/minute.  


{| class="wikitable" font-size="90%" align="right"
 
|- style="text-align:center;background-color:#6EB4EB;"
|+'''The 'square counting' method can be finetuned with the following sequence'''
|-
|'''300'''||250||214||187||167||'''150'''||136||125||115||107||'''100'''||94||88||83||79||'''75'''||71||68||65||62||'''60'''
|-
|}


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