A system and method for triggering an external device in response to an electrocardiogram signal. In one embodiment the method includes determining a peak in the electrocardiogram signal, determining if the electrocardiogram signal is rising or falling at the peak in the signal and triggering a device in response to the rising or falling peak. In one embodiment of the invention an external trigger signal is produced only a rising peak is detected. In one embodiment, the system includes a microprocessor, a peak detector and a trigger circuit. The trigger circuit outputs a trigger signal to an external device when signaled by the peak detector and not inhibited by a signal from the microprocessor.