Bazett's Formula:
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The QTc (corrected QT interval) calculation adjusts the measured QT interval for heart rate using Bazett's formula. This provides a standardized measure of ventricular repolarization that can be compared across different heart rates.
The calculator uses Bazett's 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 medication effects that may prolong QT interval.
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 <440 ms for men and <460 ms for women. Values above these may indicate prolonged QT syndrome.
Q2: Why use Bazett's formula?
A: Bazett's formula is the most widely used method for QT correction, though it may overcorrect at high heart rates and undercorrect at low heart rates.
Q3: When should QTc be measured?
A: QTc should be measured in standard ECG leads, preferably lead II or V5, and averaged over multiple beats for accuracy.
Q4: Are there alternative formulas?
A: Yes, other formulas include Fridericia's (QTc = QT/RR1/3) and Framingham's (QTc = QT + 0.154(1-RR)) corrections.
Q5: What clinical conditions affect QTc?
A: Many medications, electrolyte imbalances, and cardiac conditions can prolong QTc interval, increasing risk of torsades de pointes.