In this paper we test the hypothesis that a domain reference ontology of the electrocardiogram (ECG) can be employed in an effective manner to achieve semantic integration between ECG data standards. Several standardization initiatives, namely AHA/MIT-BIH (Physionet), SCP-ECG and HL7 aECG, have led to heterogeneous conceptualizations of the ECG domain. We then argue that a shared anchor, the bi...