Bazett Formula:
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The Bazett formula is used to calculate the corrected QT interval (QTc) which accounts for variations in heart rate. It provides a standardized measure of ventricular repolarization that is independent of heart rate.
The calculator uses the Bazett formula:
Where:
Explanation: The formula corrects the QT interval for heart rate by dividing by the square root of the RR interval, providing a rate-independent measure of ventricular repolarization.
Details: Accurate QTc calculation is crucial for assessing cardiac repolarization abnormalities, identifying risk of arrhythmias, and monitoring drug effects on cardiac conduction. A QTc of 420 ms is considered the upper limit of normal.
Tips: Enter QT interval in milliseconds and heart rate in beats per minute. Both values must be valid positive numbers for accurate calculation.
Q1: What is a normal QTc value?
A: Normal QTc values are typically <420 ms for men and <440 ms for women. Values above these thresholds may indicate prolonged QT syndrome.
Q2: Why is QTc correction important?
A: The QT interval naturally varies with heart rate. Correction allows for comparison of QT intervals at different heart rates and identification of abnormal repolarization.
Q3: When should QTc be measured?
A: QTc should be measured in standard ECG leads, preferably lead II or V5, and should be averaged over multiple beats for accuracy.
Q4: Are there limitations to the Bazett formula?
A: The Bazett formula may overcorrect at high heart rates and undercorrect at low heart rates. Other formulas (Fridericia, Framingham) may be used in specific situations.
Q5: What clinical conditions affect QTc?
A: Prolonged QTc can be caused by medications, electrolyte imbalances, congenital long QT syndrome, myocardial ischemia, and other cardiac conditions.