EKG Dictionary
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Recording & method

Rhythm strip

Also calledrhythm lead · monitoring strip · rhythm tracing · rhythm monitoring strip

Definition

A prolonged recording from one lead, used mainly to assess heart rate and rhythm rather than waveform shape across leads; a standard rhythm strip is 25 cm long (10 seconds). Lead II is most commonly used because it usually gives a good view of the P wave. At the standard 25 mm/s each small box equals 0.04 s and each large box 0.20 s, and the rate of an irregular rhythm can be estimated by counting the intervals between QRS complexes in the 10-second strip and multiplying by six.

Source

  1. Meek S, Morris F. ABC of clinical electrocardiography. Introduction. I: Leads, rate, rhythm, and cardiac axis. BMJ. 2002;324(7334):415-418. doi.org/10.1136/bmj.324.7334.415

Last reviewed 2 October 2026. Every definition in the EKG Dictionary cites the guideline, consensus statement or original paper it comes from.

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