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MD Calc QT Correction

QT Correction Formula:

\[ QTc = QT / \sqrt{RR} \]

ms
bpm

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1. What is QT Correction?

QT correction adjusts the measured QT interval for heart rate using various formulas. The most common is Bazett's formula (QTc = QT/√RR), but other methods like Fridericia, Framingham, and Hodges are also used in clinical practice.

2. How Does the Calculator Work?

The calculator uses multiple QT correction formulas:

Bazett: \( QTc = QT / \sqrt{RR} \)

Fridericia: \( QTc = QT / \sqrt[3]{RR} \)

Framingham: \( QTc = QT + 0.154 \times (1 - RR) \)

Hodges: \( QTc = QT + 1.75 \times (HR - 60) \)

Where:

Explanation: Different formulas provide varying degrees of accuracy across different heart rate ranges.

3. Importance of QTc Calculation

Details: Corrected QT interval is crucial for assessing cardiac repolarization abnormalities. Prolonged QTc is associated with increased risk of life-threatening arrhythmias like torsades de pointes.

4. Using the Calculator

Tips: Enter QT interval in milliseconds, heart rate in bpm, and select the desired correction formula. All values must be valid positive numbers.

5. Frequently Asked Questions (FAQ)

Q1: Which formula is most accurate?
A: Bazett is most commonly used but tends to overcorrect at high heart rates. Fridericia and Hodges formulas may be more accurate across wider heart rate ranges.

Q2: What is a normal QTc value?
A: Normal QTc is typically <440 ms for men and <460 ms for women. Values above these may indicate prolonged QT syndrome.

Q3: When should QT correction be performed?
A: Always correct QT interval when interpreting ECGs, especially when assessing for medication effects or congenital long QT syndrome.

Q4: Are there limitations to these formulas?
A: Yes, all formulas have limitations, particularly at extreme heart rates. Clinical judgment should always accompany numerical calculations.

Q5: Should different formulas be used for different populations?
A: Some studies suggest certain formulas may perform better in specific populations, but Bazett remains the most widely accepted standard.

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