Certified Cardiographic Technician (CCT)

Requires: Passing the one-part Certified Cardiographic Technician Examination

Who should apply: Professionals who work in the areas of ECG, Holter monitoring, and stress testing

Specialty Examination Fee: $160

CCT 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.

Changes to the qualification criteria have been made and will be effective for applicants submitting their applications on or after July 1, 2013. To review the revised qualifications, please visit www.cci-online.org or contact CCI headquarters.

Qualification Prerequisite # Qualification Prerequisite Supporting Documentation
CCT1 Currently enrolled as a student or a graduate of a cardiovascular or allied health training program.

Completion certificate


Student Verification Letter


Educational Transcripts

CCT2 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 (Should be not older than six months from the datethe application is received at CCI Headquarters)
CCT3 Completed requirements for a graduate undergraduate degree from a recognized institution in a field related to science or OR physical health.

Completion certificate


Student Verification Letter


Educational Transcripts

CCT4 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 (Should be not older than six months from the date the application is received at CCI Headquarters)

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.

CCT Matrix & Task List Sunday, November 08th 2009 10:00 PM

Beginning July 1, 2013 the Examination Blueprint will change to the one listed on page 21 of the 2013 Examination Application and Overview booklet. If you are testing July 1 or later, please reference this new blueprint.


Examination Matrix

The 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.

Basic Cardiovascular Anatomy & Physiology 14%
ECG Techniques & Recognition 32%
Basic Cardiovascular Electrophysiology 16%
Stress Test Techniques, Indications, and Contraindications 11%
Ambulatory Monitoring (i.e. holter) 20%
Cardiac Medications 7%
TOTAL 100%

Knowledge List

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

Size Venules

Bipolar, unipolar and precordial leads Einthoven's triangle and law

Location  Cardiac valve function ECG calibration methods
Layers Pressures Single and three channel ECG

Relationship of cardiac output to heart rate and stroke volume

Troubleshooting ECGs
Valves Control mechanisms Standardization
Blood flow Cardiac cycle Paper speed
Arteries Normal values Lead placement
Veins Waveforms Electrical interference
Capillaries ECG measurement Somatic tremor

Task List

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

     Duties and Tasks  % of Exam
A   Basic Cardiovascular Anatomy and Physiology 14% 
  1 Heart  
  2 Heart and Coronary Circulation  
  3 Physiology  
  4 Anatomical Terms  
B   ECG Techniques and Recognition  32%
  1 Define, Identify, Measure, Explain and Analyze Waveforms and ECG Measurement  
  2 ECG Leads  
  3 ECG, Holter and Stress Testing Instrumentation  
  4 Recognition of Recording Errors  
  5 Recognition of Recording Artifacts  
  6 Patient and Electrical Safety Hazards of Electrical Apparatus  
  7 Distinguish, Interpret and Describe Cardiac Arrhythmias  
C   Basic Cardiovascular Electrophysiology  16%
  1 Conduction System  
  2 Refractory  
  3 Transmembrane Potential  
  4 Action Potential  
D   Stress Test Techniques, Indications and Contraindications  11%
  1 Stress Testing  
  2 Interpretation of the Exercise ECG  
  3 Ergometers  
  4 Pharmacologic  
E   Ambulatory Monitoring (e.g., Holter)  20%
  1 Indications  
  2 Contraindications  
  3 Preparation Techniques  
  4 Lead Placement and Procedures  
  5 Interpretation  
F   Cardiac Medications  7%
  1 Categories  
  2 Indications  
    TOTAL  100%
  1. The heart is divided into ______ chambers:
    1. One
    2. Two
    3. Four
    4. Three
  2. Which of the following supplies blood to the arterial system after contraction?
    1. Left atrium
    2. Right atrium
    3. Left ventricle
    4. Right ventricle
  3. The Sensitivity switch controls the:
    1. Heat
    2. Speed
    3. Amplification
    4. ECG position
  4. The little "spark" that makes the heart beat, originates in the:
    1. AV node
    2. SA node
    3. Purkinje fibers
    4. Bundle branches
  5. Which of the following is a poor conductor of electric current?
    1. Metal
    2. Blood
    3. Dry skin
    4. Body fluids

1. c  2. c  3. c  4. b  5. c

The textbooks listed in the following section are intended as a recommended resource when preparing for examination. Any general text related to the content on the examination may be used. It is not necessary to use all of the texts identified. They are provided as suggestions only. CCI does not endorse nor recommend any third party review course or material.

  1. The Ciba Collection of Medical Illustrations: Vol. 5, The Heart, Frank Netter, MD, Ciba Collection of Medical Illustrations.
  2. Gray's Anatomy, Charles Goss, Lea and Febiger, 30th edition, 1985.
  3. Electrocardiography for Health Care Personnel, Haddix, Dei Tos, 2001.
  4. Understanding EKGs: A Practical Approach, 2nd Edition, Beasley, 2003.
  5. How to Quickly and Accurately Master ECG Interpretation, Dale Davis, RCT, 2nd edition, 1993, J.B. Lippincott Co.
  6. Rapid Interpretation of ECG, Dale Dubin, MD, 5th edition, 1996, Cover Publishing Co.
  7. Practical Electrocardiography, Henry Marriott, MD, 10th edition, 2001, Williams and Wilkins Co.
  8. Emergency Cardiac Care, Robert Huzar, MD, 2nd edition, 1982, Prentice Hall.
  9. 12-Lead ECG in Acute Coronary Syndromes, 2nd Edition, Phalen, Aehlert, 2006.
  10. Understanding 12-Lead EKGs: A Practical Approach, 2nd Edition, Beasley, West, 2006.
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