How to Calculate Heart Rate from a Graph

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Heart Rate ECG Graph Calculator

(Based on 1500 small squares = 1 minute at 25mm/s)

function calculateHeartRate() { var smallSquares = document.getElementById("smallSquares").value; var largeSquares = document.getElementById("largeSquares").value; var isSmallMethod = !document.getElementById("smallSquareGroup").classList.contains("hidden"); var bpm = 0; if (isSmallMethod) { var smallVal = parseFloat(smallSquares); if (isNaN(smallVal) || smallVal <= 0) { alert("Please enter a valid number of small squares."); return; } bpm = 1500 / smallVal; } else { var largeVal = parseFloat(largeSquares); if (isNaN(largeVal) || largeVal <= 0) { alert("Please enter a valid number of large squares."); return; } bpm = 300 / largeVal; } var finalBpm = Math.round(bpm); document.getElementById("bpmOutput").innerHTML = finalBpm + " BPM"; var status = ""; var statusColor = ""; if (finalBpm 100) { status = "Tachycardia (Fast Heart Rate)"; statusColor = "#e74c3c"; } else { status = "Normal Sinus Rhythm Range"; statusColor = "#27ae60"; } document.getElementById("rhythmStatus").innerHTML = status; document.getElementById("rhythmStatus").style.color = statusColor; document.getElementById("resultArea").classList.remove("hidden"); }

How to Calculate Heart Rate from an ECG Graph

When looking at an Electrocardiogram (ECG/EKG) strip, the paper grid provides a precise way to measure the time interval between heartbeats. The horizontal axis represents time, and by measuring the distance between two consecutive R-waves (the tall spikes), you can determine the Heart Rate (BPM).

The Grid Fundamentals

Standard ECG paper moves at a speed of 25 millimeters per second (mm/s). This standard leads to two common units of measurement on the grid:

  • Small Squares: Each small box is 1mm wide, representing 0.04 seconds.
  • Large Squares: Each large box (consisting of 5×5 small boxes) is 5mm wide, representing 0.20 seconds.

Calculation Methods

1. The 1500 Method (Most Accurate)

Since there are 1,500 small squares in one minute (60 seconds / 0.04 seconds), you can calculate the heart rate by counting the number of small squares between two R-waves. This is best for regular heart rhythms.

Formula: 1500 / Number of Small Squares = BPM

Example: If there are 20 small squares between R-waves, 1500 / 20 = 75 BPM.

2. The 300 Method (Quick Estimation)

Since there are 300 large squares in one minute (60 seconds / 0.20 seconds), you can count the number of large squares between R-waves for a faster calculation.

Formula: 300 / Number of Large Squares = BPM

Example: If there are 4 large squares between R-waves, 300 / 4 = 75 BPM.

When to Use the 6-Second Method

If the heart rhythm is irregular, the methods above may not be accurate. In these cases, medical professionals use the 6-second strip method. You count the number of R-waves in a 6-second interval (usually marked by small ticks at the top of the paper) and multiply that number by 10.

Formula: Number of Cycles in 6 Seconds x 10 = BPM

Standard Heart Rate Ranges

Category BPM Range
Bradycardia Less than 60 BPM
Normal Range 60 – 100 BPM
Tachycardia Greater than 100 BPM

Disclaimer: This tool is for educational purposes only. If you are experiencing heart palpitations, chest pain, or dizziness, please seek immediate medical attention from a healthcare professional.

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