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MD Calc QTc Correction

QTc Correction Formulas:

Bazett's Formula: QTc = QT / √RR

Fridericia's Formula: QTc = QT / ∛RR

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

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

ms
bpm

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1. What is QTc Correction?

QTc correction adjusts the measured QT interval for heart rate, allowing for standardized comparison across different heart rates. Various formulas exist, with Bazett's being the most commonly used but each having specific applications and limitations.

2. How Does the Calculator Work?

The calculator supports multiple QTc correction formulas:

Bazett's Formula: QTc = QT / √RR

Fridericia's Formula: QTc = QT / ∛RR

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

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

Where:

Explanation: Different formulas provide varying degrees of accuracy across different heart rate ranges, with Bazett's being most common but potentially overcorrecting at high heart rates.

3. Importance of QTc Calculation

Details: Accurate QTc calculation is crucial for assessing cardiac repolarization, identifying prolonged QT syndrome, monitoring drug effects, and evaluating arrhythmia risk.

4. Using the Calculator

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

5. Frequently Asked Questions (FAQ)

Q1: Why are there multiple QTc formulas?
A: Different formulas have varying accuracy across heart rate ranges. Bazett's is most common but may overcorrect at high rates, while others like Fridericia and Framingham provide better correction in specific scenarios.

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 I use which formula?
A: Bazett's is most widely used clinically. Fridericia may be preferred for higher heart rates. Consult specific clinical guidelines for your application.

Q4: How is the RR interval calculated?
A: RR interval (in seconds) = 60 / heart rate (bpm). This represents the time between successive R waves on the ECG.

Q5: Are there limitations to these formulas?
A: Yes, all formulas have limitations, particularly at extreme heart rates. Manual measurement of QT interval can also introduce variability.

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