Certified Rhythm Analysis Technician (CRAT)

Requires: Passing the one-part Certified Rhythm Analysis Examination

Who should apply: Professionals who utilize specialized monitoring equipment to analyze cardiac rhythms.  

Specialty Examination Fee: $175


Click here for information on ordering the Self Assessment Examination


CRAT Navigation

All applicants must meet the following criteria:

1. Have a high school diploma or general education diploma at the time of application.

2. Fulfill one (1) of the qualifications of the exam for which you are applying. See qualifications listed in the tables below.

3. Provide typed documentation to support the qualification under which you are applying. Required documentation for each qualification is listed below. CCI reserves the right to request additional information.


Qualification Prerequisite # Qualification Prerequisite Supporting Documentation
CRAT1 Currently enrolled as a student or a graduate of a cardiovascular or allied health training program.

Completion certificate


Student Verification Letter


Educational Transcripts

CRAT2 Currently employed or previously employed in the field of Cardiovascular Technology or in a recognized allied health field (recognized by the American Medical Association (AMA)). Employment Verification Letter 
CRAT3 Completed requirements for a graduate or undergraduate degree from a recognized institution in a field related to science or OR physical health.

Completion certificate a


Student Verification Letter


Educational Transcripts

CRAT4 Volunteer service in the field of Cardiovascular Technology for a minimum of two (2) years and documentation supporting full-time technical activities for a two (2) year period. Employment Verification Letter 

Click here for sample Student Verification Letter and Employment/Volunteer Verification Letter. 

CCI requires the Student Verification Letter contain the following:

1) Educational program’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by educational director.
3) Indicate the name of the applicant.
4) Indicate full- or part-time student.
5) Indicate the date or expected date of graduation.
6) Indicate the specialty of the educational program.
7) Original signature of direct supervisor or employer.

CCI requires the Employment/Volunteer Verification Letter contain the following: 

1) Employer’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by employer/supervisor.
3) Indicate the name of the applicant.
4) Indicate full- or part-time employment.
5) Indicate the time period of employment.
6) Indicate the primary duties of applicant, related to the field of cardiovascular technology.
7) Original signature of direct supervisor.

Exam Overview Friday, February 04th 2011 11:01 AM

Examination Matrix

This examination matrix is provided to illustrate the general distribution of questions and the relative weight or emphasis given to a skill or content area on the examination.

Content Category Approximate Percentage of Examination
A. Registering Patients 5%
B. Maintaining Cardiac Monitoring Device Support 3%
C. Educating Clients 8%
D. Administering Cardiac Test 10%
E. Analyzing Rhythms 68%
F. Processing Cardiac Test Findings 6%
TOTAL 100%

Knowledge List

The list below describes general areas of knowledge that are needed in order to perform the tasks identified. This knowledge will apply across multiple tasks.

Regulatory and compliance standards

(e.g., OSHA, HIPAA, informed consent,
medical records)

Medical ethics

Communication with the client

Communication with staff and faculty

Patient safety

Emergency response

Basic cardiovascular anatomy and physiology

Cardiac rhythm analysis and interpretation

ECG troubleshooting

Documentation of findings

Medical terminology

Task List

The task list below describes the activities that a Cardiographic Technician is expected perform on the job. All examination questions are linked to these tasks.

Duties and Tasks % of Exam
A Registering Patients 5%
1 Validate provider order  
2 Verify patient identification  
3 Collect patient demographics  
4 Review patient history  
5 Supply cardiac monitoring device equipment to patient  
B Maintaining Cardiac Monitoring Device Support 3%
1 Confirm electrode placement  
2 Clean client equipment  
3 Minimize electrical mechanical interference (EMI)  
C Educating Clients 8%
1 Provide educational materials to clients  
2 Explain cardiac monitoring service  
3 Educate clients on cardiac monitoring device saftey  
4 Educate clients on self-monitoring  
D Administering Cardiac Test 10%
1 Place cardiac monitoring device  
2 Collect ECG results  
3 Obtain patient symptoms  
4 Recognize standard ECG settings  
Duties and Tasks % of Exam
E Analyzing Rhythms 68%
1 Identify normal ECG components  
2 Identify sinus rhythm  
3 Identify atrial rhythm  
4 Identify junctional rhythm  
5 Identify AV conduction defects  
6 Identify ventricular rhythms  
7 Identify asystole  
8 Recognize artifacts  
9 Identify paced rhythms  
10 Identify cardiac anatomy and physiology  
F Processing Cardiac Test Findings 6%
1 Triage ECG results  
2 Compile test findings  
3 Conduct follow-up activities  
Total   100%

Sample Questions

1. Somatic tremor artifact may be caused by:
a. Switching leads
b. Circuit overload
c. Defective machine
d. A cold, uncomfortable environment

2. Which of the following arrhythmias may lead to death if asynchronous counter shock is not available?
a. Atrial tachycardia and atrial flutter
b. Atrial fibrillation and bundle branch block
c. Sinus tachycardia and wandering pacemaker
d. Ventricular fibrillation

3. Ventricular repolarization occurs during the ______ wave on the ECG.
a. P wave
b. T wave
c. P-R interval
d. QRS complex

4. Which waves and/or lines on the standard EKG measuring greater than 0.12 seconds may be indicative of a bundle branch block?
a. P waves
b. PR intervals
c. QRS complexes
d. ST segments

1. d 2. d 3. b 4. c

The textbooks listed below are intended as recommended resources when preparing for examination. You may have previous or later editions of these or other references available that also present acceptable coverage of the subject matter. Any general text in cardiovascular techniques and evaluation, and cardiac patient care and management may be used. It is not necessary to use all of the texts identified. They are provided as suggestions only. CCI does not endorse or recommend any third-party review course or material.


1. Barold, S. Serge, and Roland X. Stroobandt. Cardiac Pacemakers and Resynchronization Step by Step an Illustrated Guide. 2nd ed. Chichester: John Wiley & Sons, 2010. 

2. Booth, Kathryn A., and Thomas E. O’Brien. Electrocardiography for healthcare professionals. 3rd ed. New York: McGraw-Hill, 2012.

3. Diehl, Tracy S., and Diane M. Allen. ECG interpretation made incredibly easy!. 5th ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins, 2011.

4. Dubin, Dale. Rapid interpretation of EKG’s: an interactive course. 6th ed. Tampa, Fla.: Cover Pub. Co., 2000.

5. Ellenbogen, Kenneth A., and Mark A. Wood. Cardiac pacing and ICDs. 5th ed. Malden, Mass.: Blackwell Pub., 2008.

6. Hayes, David L., and Paul A. Friedman. Cardiac pacing, defibrillation and resynchronization: a clinical approach. 2nd ed. Chichester, West Sussex, UK: Wiley-Blackwell, 2008.

7. Huff, Jane. ECG workout: exercises in arrhythmia interpretation. 6th ed. Ambler, PA: Lippincott Williams & Wilkins, 2011. Print.

8. Kenny, Tom. The nuts and bolts of cardiac pacing. 2nd ed. Malden, Mass.: Blackwell Futura, 2008.

9. Wesley, Keith. Huszar’s basic dysrhythmias and acute coronary syndromes: interpretation and management. 4th ed. Elsevier- Health Sciences, 2011.

10. Woods, Stephanie L., and Karen S. Ehrat. The art of EKG interpretation: a self-instructional text. 7th ed. Dubuque, Iowa: Kendall Hunt Pub Co., 2009.



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