The Certified Cardiographic Technician (CCT) is best obtained by individuals working in the areas of ECG (electrocardiogram), Holter monitoring, and stress testing. There are four different CCTs available. Regardless of the certification being applied for, all applicants must hold a high school diploma or the GED (General Education Development) equivalent at the time of their application. Topics that can be expected to be covered are:
    • Basic cardiovascular anatomy and physiology: 14% There will be questions concerning the heart, circulation of the heart, coronary circulation, physiology, and anatomical terms.
    • ECG (electrocardiogram) techniques and recognition: 32% The applicant will be required to define, identify, measure, explain, and analyze waveforms and ECG measurements. There will also be questions on ECG leads, as well as ECG, Holter, and stress testing instrumentation. The applicant must be able to recognize recording errors and recording artifacts, as well as patient and electrical safety hazards. Finally, the applicant must distinguish, interpret, and describe cardiac arrhythmias.
    • Stress test techniques, indicators, and contraindicators: 11% Expect to see questions related to stress testing, the interpretation of the exercise, ECG, ergometers, and pharmacologic factors.
    • Ambulatory or Holter monitoring: 20% The applicant must have a strong understanding of indications, contraindications, preparation techniques, lead placement and procedures, and interpretation of the monitoring results.
    • Basic cardiovascular electrophysiology: 16% This section covers conduction systems, refractory issues, transmembrane potential, and action potential.
    • Cardiac medications and indications: 7% The applicant must fully understand the categories of medications and indications that a patient may require.
  Be prepared to be knowledgable in the following areas:
  • Venules
  • Cardiac valve function
  • ECG calibration methods
  • Single and 3-channel ECGs
  • Relationship of cardiac output to heart rate and stroke volume
  • Troubleshooting ECGs
  • Cardiac cycle
  • ECG measurement
  • Chambers
  • Valves
  • Blood flow
  • Arteries
  • Veins
  • Capillaries
  • Arterioles
  • Somatic tremor
  • Waveforms
  • Electrical interference

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  Practice exams that mimic the real thing, and help you successfully prepare for the test. What our tests offer that prepare you for the real thing: Topics covered
  • Conducting Pre-Procedural Activities – 10%
  • Performing Resting ECG (12-Lead, 15-Lead, etc.) – 40%
  • Performing Stress Tests – 20%
  • Performing Ambulatory Monitoring (Holter, Event, Telemetry, Transtelephonic, Pacemaker, etc.) – 5%
  • Performing Rhythm Analysis – 25%
    What makes us unique is that McRee provides you with a practice test environment that allows you to feel like you are taking the real test, with an added benefit. We tell you when you answer a question right or wrong! With our tests, you will get step-by-step explanations that are user friendly and will help you understand and master the subject matter in no time.

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