Cardiac Monitor Technicians and Telemetry Technicians work in healthcare facilities and are individuals that specializes in performing and monitoring EKGs. Their jobs include observing the cardiac monitor and reporting any abnormal changes to the nurse or physician or referring physician or assigned healthcare professional immediately via intercom or communication services provided. They must be attentive while on the job and must be able to clearly and accurately communicate the message.


Cardiac Monitor and Telemetry Technician monitor patient’s heart rhythms using telemetry equipment and therefore must have knowledge of normal rhythm versus the various types of abnormal rhythms and should also be able to interpret and measure rhythm strips by rate and EKG intervals, records physiological measurements, identify cardiac arrhythmias, report any changes from the baseline, assist and perform application of EKGs, maintain EKG equipment as required, they are also responsible for documenting the heart rate and rhythm. Cardiac Monitor Technicians and Telemetry Technicians must also have the knowledge of preparing the patient for the procedure and applying EKG electrodes for various types of EKGs. To measure the patient’s heart rhythm, the cardiac monitor and telemetry technician use calipers on the graphic tape readouts.       


They have direct interaction with the patients and therefore must understand the concept of infection control, standard precautions, communication, basic medical terminologies, legal issues, patient privacy. They must also be able to explain the procedure to the patient.   



Candidates registering for the CCMTT exam must qualify in (at-least 1) of the ROUTES (A or B or C) as shown below. Training and experience may be completed within united states of america or outside united states of america. 




EKG Training or Equivalent

(Nationally or Internationally)




Must have experience working as an EKG Tech or equivalent.

Veteran Memorial Service



Must submit proof of education or experience.




Assist provider with cardiac monitoring.

Monitor and record six second strips.

Identify and report abnormal changes immediately.

Observe cardiac monitor screens.

Measure patient heart rhythm using calipers.

Maintaining continuous assessment of EKG rhythm.

Communication with patients

Providing patient education.

Scheduling appointment.

Patient charting for EKG.

Maintaining and setting up EKG equipment.

Patient preparation.

Performing EKGs using EKG equipment and supplies.

Avoiding artifacts.

Other duties as provided by the facility.

CCMTT Exam Test Plan

The exam content topic includes the following:

  1. Anatomy and Physiology

  2. Medical Terminology

  3. Legal Issues

  4. Infection Control

  5. EKG Application

  6. EKG Rhythm Interpretation (Sinus Node, Atria, Atria-Junction Node, Ventricles, Heart Blocks, Axis Deviation, Axis Hypertrophy, STEMI, Pacemakers)



AECA believes in continuing education more frequently so that the candidate can have a constant touch with knowledge, Candidate’s are required to attend the continuing education units / credits every year to renew their certification.


Certification is required to be renewed annually.

On submitting a renewal application the candidate will receive an email with links to CEUs that must be completed and submitted online. 

Fee Schedule for Renewal

Renewal Fee: $50


Certification that are expired must apply for reinstatement.

If you wish to apply to reinstate your expired certification you may proceed by submitting a reinstatement application. 


Fee Schedule for Reinstatement

Expired Less than 1 Year: $99  

Expired More than 1 Year but Less than 2 Years: $199