Fridericia Formula:
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Fridericia's formula corrects the QT interval for heart rate using a cube root relationship. It provides better accuracy at heart rate extremes compared to other correction formulas like Bazett's.
The calculator uses Fridericia's formula:
Where:
Explanation: The formula accounts for the non-linear relationship between QT interval and heart rate, providing more accurate correction particularly at high and low heart rates.
Details: Accurate QTc calculation is crucial for assessing cardiac repolarization abnormalities, identifying risk of arrhythmias, and monitoring drug effects on cardiac conduction.
Tips: Enter QT interval in milliseconds and heart rate in beats per minute. Both values must be positive numbers for accurate calculation.
Q1: Why use Fridericia's formula instead of Bazett's?
A: Fridericia's cube root formula provides better accuracy at heart rate extremes, while Bazett's square root formula tends to overcorrect at high heart rates and undercorrect at low heart rates.
Q2: What are normal QTc values?
A: Normal QTc is generally <440 ms for men and <460 ms for women. Values above these thresholds may indicate prolonged QT syndrome.
Q3: When should QT measurement be performed?
A: QT intervals should be measured during electrocardiogram (ECG) assessment, typically using lead II or V5 for optimal T wave visualization.
Q4: Are there limitations to Fridericia's formula?
A: While better than Bazett's at extremes, no single formula perfectly corrects QT for all heart rates. Clinical context and multiple measurements should be considered.
Q5: Should medication decisions be based solely on QTc?
A: QTc is an important parameter but should be interpreted in clinical context along with other factors such as symptoms, family history, and additional ECG findings.