How to Become an EKG Technician

Want a healthcare career that’s fast to start and high in demand?
Becoming an EKG technician (also known as a cardiovascular technician) can be achieved in less than a year—and offers strong job growth, flexible schedules, and steady pay.

If you’re detail-oriented, compassionate, and curious about how the heart works, this guide will walk you through everything you need to know—from training and certification to salary expectations and job outlook.

What Does an EKG Technician Do?

EKG technicians (short for electrocardiograph technicians) operate specialized equipment to measure and record the electrical activity of the heart. They play a vital role in diagnosing and monitoring heart conditions.

Common Duties:

  • Setting up and maintaining EKG machines
  • Explaining procedures to patients
  • Attaching electrodes and monitoring results
  • Assisting doctors with stress tests or Holter monitors
  • Recording and analyzing heart rhythms

EKG technicians work closely with cardiologists, nurses, and medical assistants in hospitals, diagnostic labs, and outpatient clinics.


With heart disease remaining the leading cause of death in the U.S., demand for skilled EKG technicians continues to rise across all healthcare settings.


How to Become an EKG Technician (5 Steps)

Here’s how to start your career in cardiac diagnostics:

  1. Earn your high school diploma or GED
    Focus on biology, anatomy, and computer literacy.

  2. Complete an accredited EKG technician program
    Programs typically take 3–9 months and combine classroom and hands-on training.

  1. Gain clinical experience
    Many schools include externships in hospitals or cardiac clinics.

  2. Earn certification
    Certification is optional but preferred by most employers. Top certifications include:

    • CET (Certified EKG Technician) – NHA
    • EKG Technician Certification (ETC) – AMCA
    • Certified Cardiographic Technician (CCT) – CCI
  3. Apply for jobs in healthcare facilities
    Hospitals, cardiology practices, diagnostic labs, and outpatient centers all hire EKG technicians.


Certification & Licensing Requirements

Most states don’t require a license, but certification shows professionalism and can lead to higher pay.

Top Certifying Organizations:

  • National Healthcareer Association (NHA) – CET
  • American Medical Certification Association (AMCA) – EKG Technician
  • Cardiovascular Credentialing International (CCI) – CCT

Certification exams usually require completion of an approved training program or six months of supervised experience.


Skills That Make Great EKG Technicians

  • Attention to detail and accuracy
  • Excellent bedside manner and communication
  • Knowledge of cardiac anatomy and physiology
  • Comfort with computers and medical equipment
  • Ability to stay calm under pressure

The best EKG technicians combine technical skill with empathy—helping patients feel at ease during potentially stressful procedures.


Work Settings & Career Advancement

EKG technicians can work in:

  • Hospitals and emergency departments
  • Cardiology clinics and outpatient labs
  • Diagnostic imaging centers
  • Rehabilitation facilities

Career Growth Opportunities:

  • Holter Monitoring Technician
  • Cardiovascular Technologist
  • Medical Laboratory Technician
  • Healthcare Supervisor or Instructor

Median Pay $67,260 $32.34/hr Top 10%: $108,900
Job Outlook (2024–2034) 2.9% 3,800 openings/yr
Employment (2024) 61,180
🏁Wage Percentiles
25th $46,470 75th $91,430
🎓Typical Education
Postsecondary certificate
🛠️On‑the‑Job Training
Short‑term on‑the‑job training
🌎Highest Paying States
Alaska Hawaii Massachusetts
🏢Top Industries
Cross-industry
Certification
Optional (CET/CCT)

Pros & Cons of the EKG Tech Career

Pros:

  • Entry in less than one year
  • Consistent demand across the U.S.
  • High satisfaction from patient interaction
  • Pathway into advanced healthcare roles

Cons:

  • Requires precision and focus under pressure
  • Standing for long periods
  • Some weekend or night shifts

Start Your EKG Technician Career

Whether you want to work directly with patients or support cardiologists behind the scenes, becoming an EKG technician offers fast training, reliable income, and strong job growth.


Ekg Technician Salary by State

BLS OEWS, May 2024

State Median annual Top 10% annual
Massachusetts $101,980 $201,020
Idaho $98,140 $170,030
California $64,720 $138,240
Utah $89,420 $134,260
Alaska $118,510 $133,520
Oregon $96,550 $133,010
Virginia $78,720 $130,450
Vermont $68,030 $129,440
Washington $76,470 $129,300
District of Columbia $86,010 $128,830
Hawaii $107,910 $127,610
Rhode Island $100,040 $126,390
New York $86,050 $125,980
Connecticut $80,390 $121,690
Colorado $85,710 $114,530
Nevada $50,430 $111,810
New Jersey $81,160 $110,130
Wisconsin $68,630 $108,580
Georgia $69,490 $108,190
Delaware $79,550 $106,720
Pennsylvania $61,920 $105,660
Maryland $80,780 $105,320
Maine $79,730 $105,280
New Hampshire $85,630 $105,040
Illinois $73,600 $104,210
Montana $76,370 $104,080
Arkansas $70,930 $104,070
South Dakota $64,720 $102,700
Minnesota $69,480 $102,650
North Carolina $58,050 $102,050
Kansas $70,220 $101,940
Wyoming $80,930 $101,880
Arizona $65,720 $101,870
North Dakota $68,860 $100,750
Indiana $67,970 $100,480
Missouri $76,640 $100,420
Florida $64,000 $100,290
Tennessee $63,940 $100,010
Texas $47,970 $98,350
Iowa $68,840 $98,140
New Mexico $41,860 $95,780
Ohio $77,790 $95,750
South Carolina $63,290 $94,470
Nebraska $60,670 $93,690
Michigan $78,480 $92,440
Kentucky $58,660 $89,110
Oklahoma $40,970 $86,790
Louisiana $53,610 $85,070
Alabama $45,280 $82,280
Mississippi $45,120 $79,200
West Virginia $35,640 $78,180

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2024.


Brad Fishbein Licensed Mold Assessor

Meet the author: Brad Fishbein is a Florida Licensed Mold Assessor and council-certified Microbial Investigator. He’s the founder of TradeCareerPath.com and has completed over 5,000 mold inspections since 2009. Brad now helps homeowners and tradespeople make smart decisions about mold, licensing, and skilled career paths.

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