National Credential
Credential: Certified Cardiographic Technician (CCT)  In-Demand resource  GI Bill resource
Credentialing Agency: Cardiovascular Credentialing International (CCI)

The Cardiovascular Credentialing International (CCI), Certified Cardiographic Technician (CCT) is a mid-level certification for professionals who work in the areas of ECG, Holter monitoring, and stress testing. CCT validates Cardiographic Technicians' knowledge of basic cardiovascular anatomy, physiology and electrophysiology, ECG, stress test techniques and cardiac medications. Technicians may conduct tests on pulmonary or cardiovascular systems of patients for diagnostic purposes and assist in electrocardiograms, cardiac catheterizations, pulmonary-functions, lung capacity, and similar tests. To earn the CCT certification, applicants must have a high school diploma, meet any one of the education, training and experience option and pass a written exam.

More information can be found on the certifying agency's website.

Renewal Period: 3 years

Certified Cardiographic Technician (CCT)

The following Army Occupations provide training and/or experience that contributes to attaining this credential:

Personnel Category Occupation Occupation Type Related As Promotion Points Skill Level Star Proponent Funded Gap Analysis
Enlisted 68N Cardiovascular Specialist MOS most  Promotion Points: This certification has been approved for promotion points. Click for more information. I      

Army Table Legend

Related As

The military occupations shown in this table are related to this credential in one of four ways: Most, Some, or Other.

Most: This credential is directly related to most of the major duties associated with the military occupation (at least 80%). Note that the credential may require additional education, training or experience before you are eligible for it.

Some: This credential is related to some tasks associated with the duties of the military occupation (related 80% to at least one or more critical tasks but less than 80% of all of the entire military occupation). Note that the credential may require additional education, training or experience before you are eligible for it.

Other: This credential is related to this military occupation, but is more advanced or specialized and therefore will likely require additional education, training, or experience.

Promotion Points Promotion Points icon

This credential has been approved for promotion points for this MOS towards promotion to Sergeant and Staff Sergeant. Clicking the Promotion Points icon will open a link to the promotion points fact sheet.

Skill Level Designation

Skill Level I: This skill level consists of all Soldiers in the ranks of Private (pay grade E-1) up to Specialist (pay grade E-4). Time in Service (TIS) is generally between initial entry and four Years of Service (YOS). This skill level is Entry-level positions requiring performance of tasks under direct supervision.

Institutional training:

  • Structured Self-Development (SSD) level I
  • Basic Leader Course (BLC)

Skill Level II: This skill level is obtained when promoted to Sergeant (paygrade E-5). TIS is generally between 4-8 YOS. Positions requiring performance of more difficult tasks under general supervision; and in some instances, involving supervision of Soldiers in SL1.

Institutional training:

  • Structured Self-Development (SSD) level II
  • Advance Leader Course (ALC)

Skill Level III: This skill level is obtained when promoted to Staff Sergeant (paygrade E-6). TIS is generally between 8-12 YOS. Positions requiring performance of still more difficult tasks and involving first line supervision of Soldiers in SL1 & SL2.

Institutional training:

  • Senior Leader Course (SLC)
  • Structured Self-Development (SSD) level III

Skill level IV: This skill level is obtained when promoted to the rank of Sergeant First Class (paygrade E-7). TIS is generally between 12-18 YOS. Positions requiring relatively detailed knowledge of all tasks specified for a given MOS, normally involving first-line supervision of Soldiers in SLs 1, 2, and 3, and involving managerial duties.

Institutional training:

  • Master Leader Course (MLC)
  • Structured Self-Development (SSD) level IV
  • Senior Enlisted Joint Professional Military Education (SEJPME) I Course

Skill level V: This skill level is obtained when promoted to the rank of Master Sergeant (paygrade E-8). TIS is generally between 18-22 YOS. Positions requiring direct and indirect leadership roles with expertise in company and battalion-level operations and competency across a given CMF, serving as members of a staff at every level in the Army, with a full understanding of the allocation of resources and their utilization in order to accomplish Army functions and missions.

Institutional training:

  • United States Army Sergeants Major Academy (USASMA)
  • Structured Self-Development (SSD) level V

Skill level VI: This skill level is obtained when promoted to the rank of Sergeants Major (paygrade E-9). TIS is generally between 22-30 YOS. Positions requiring organizational leadership roles with multi-dimensional expertise in units and teams on division, corps, and Army staffs, integrated with Joint, Interagency, Intergovernmental, and Multinational (JIIM) partners with a full understanding of the Force Generation process, operations at all echelons, and how the Army runs.

Star Credential Star icon

Star credentials are MOS enhancing, as designated by the Proponent. MOS enhancing credentials are directly related to an MOS or ASI, are taught either partially or completely as part of a Program of Instruction (POI), and improve the MOS technical proficiency.

Proponent Funded Funded icon

This icon indicates credentials which Soldiers may have funded through their MOS proponent. Some proponents offer credentialing opportunities in conjunction with military training and/or as part of MOS development beyond the training base.

Gap Analysis Has Analysis icon

A detailed analysis comparing the credential requirements to the military occupation has been completed. Click on the gap analysis icon to view the analysis page.

Certified Cardiographic Technician (CCT)

Eligibility Requirements ()

Note: This credential may have multiple options for becoming eligible. Listed below are the minimum requirements based on the minimum degree required. To view other options, see the Eligibility tab.

  • Credential Prerequisite
  • Experience: 2 years
  • Education: High School Diploma/GED
  • Training
  • Membership
  • Other
  • Fee

Exam Requirements ()

  • Written Exam
  • Oral Exam
  • Practical Exam
  • Performance Assessment

Renewal Period: 3 years

  • Continuing Education
  • Exam
  • Continuing Education OR Exam
  • Fee
  • Other

Cardiovascular Credentialing International (CCI)
1500 Sunday Drive
Suite 102
Raleigh, NC  27607
Phone: (800) 326-0268
Fax: (919) 787-4916

Certified Cardiographic Technician (CCT)

Candidates must have a high school diploma or general education diploma at the time of application and meet one of the below criteria:

Option 1: Candidates must be currently enrolled as a student or be a graduate of a cardiovascular or allied health training program.

Option 2: Candidates must be 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)).

Option 3: Candidates must have completed requirements for a graduate or undergraduate degree from a recognized institution in a field related to science or physical health.

Option 4: Candidates should have volunteered in the field of Cardiovascular Technology for a minimum of two years and be able to provide documentation supporting full-time technical activities for a two year period.

The Certified Cardiographic Technician (CCT) credential has the following other requirements:

  • Candidates must adhere to CCI Code of Ethics.

Certified Cardiographic Technician (CCT)

  • Conducting Pre-Procedural Activities (10%)
    • Receive doctor’s orders
    • Verify doctor’s orders
    • Perform universal precautions (e.g., handwashing, PPE)
    • Identify patient
    • Obtain patient consent
    • Transport patient
    • Prepare the patient (shaving, cleaning skin, etc.)
    • Identify proper landmarks
    • Collect patient demographics
    • Enter patient information into ECG machine
    • Identify patient safety hazards
  • Performing Resting ECG (12-Lead, 15-Lead, etc.) (40%)
    • Gather supplies and equipment
    • Educate patient on procedure expectations
    • Apply electrodes to patient
    • Confirm equipment
    • Perform standard ECG
    • Perform right side
    • Analyze ECG tracing
    • Corrolate ECG morphology with anatomy and physiology
  • Performing Stress Tests (20%)
    • Gather stress test supplies and equipment
    • Explain patient safety and protocol expectations
    • Perform baseline ECG and obtain vital signs
    • Verify stress test protocol
    • Perform stress test protocol
  • Performing Ambulatory Monitoring (Holter, Event, Telemetry, Transtelephonic, Pacemaker, etc.) (5%)
    • Gather ambulatory monitoring supplies and equipment
    • Explain procedure to patient
    • Verify equipment functionality
    • Attach leads to patient (stress loops, pouch, etc.)
    • Explain ambulatory monitoring requirements (limitations, expectations, duration etc.)
  • Performing Rhythm Analysis (25%)
    • Analyze obtained data
    • Correlate ECG findings (waveforms, segments, intervals, etc.) with cardiac function
    • Identify, report, and record findings

Testing for this credential is handled by Pearson VUE. The test centers are located in the U.S. They also have some test centers on military bases.

To find out more, use the following links on the Pearson VUE website:

For more information on the Cardiovascular Credentialing International (CCI) testing process, visit the agency website.

Certified Cardiographic Technician (CCT)

Renewal Period: 3 years

The Certified Cardiographic Technician (CCT) credential has the following recertification information:

  • CCT certification holders must recertify every three years by accruing 16 CEUs every triennial cycle. Information about recertification and the credential renewal process details appear on the CCI website.
  • If a CCT certification holder re-takes and passes the specialty examination, or another Registry Level Examination, the CEU requirements for that triennial cycle will be waived.

Certified Cardiographic Technician (CCT)

Additional considerations for the Certified Cardiographic Technician (CCT) include:

  • Detailed information on documentation required to support the qualification under which the candidate is applying, can be obtained from the Cardiovascular Credentialing International website.
  • Candidates must provide typed documentation to support qualifications. Required documentation for each qualification can be obtained from CCI Application and Examination overview.