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UpToDate QTc Calculator

Bazett's Formula:

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

ms
bpm

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1. What is QTc Calculation?

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.

2. How Does the Calculator Work?

The calculator uses Bazett's formula:

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

Where:

Explanation: The formula corrects the QT interval for heart rate, providing a standardized measure that accounts for variations in cardiac cycle length.

3. Importance of QTc Calculation

Details: Accurate QTc calculation is crucial for assessing cardiac repolarization abnormalities, identifying risk of arrhythmias, and monitoring drug effects on cardiac conduction.

4. Using the Calculator

Tips: Enter QT interval in milliseconds and heart rate in beats per minute. All values must be valid (QT > 0, HR > 0).

5. Frequently Asked Questions (FAQ)

Q1: Why use Bazett's formula?
A: Bazett's formula is the most widely used and clinically accepted method for QT correction, providing a standardized approach across different heart rates.

Q2: What are normal QTc values?
A: Normal QTc is generally <440 ms for men and <460 ms for women. Prolonged QTc (>500 ms) increases risk of torsades de pointes.

Q3: When should QTc be measured?
A: QTc should be measured in patients taking medications that affect cardiac repolarization, with electrolyte abnormalities, or with suspected cardiac conduction disorders.

Q4: Are there limitations to Bazett's formula?
A: Bazett's formula may overcorrect at high heart rates and undercorrect at low heart rates. Alternative formulas may be used in specific clinical scenarios.

Q5: How is QTc used in clinical practice?
A: QTc is used to assess arrhythmia risk, monitor drug safety, and evaluate patients with syncope or family history of sudden cardiac death.

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