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A(z) Corrected QT kiszámítása

Mi az a Corrected QT?

QTc normalises the QT interval for heart rate. Prolonged QTc (>450ms men, >470ms women) signals risk of torsades de pointes, a potentially fatal arrhythmia.

Képlet

QTc (Bazett) = QT (ms) / √RR (seconds); QTc (Fridericia) = QT / ∛RR; Normal < 450 ms (men), < 460 ms (women)
QT
QT interval duration (Milliseconds)
RR
RR interval (heart rate) (Seconds)
QTc
Corrected QT interval (Milliseconds)

Útmutató lépésről lépésre

  1. 1Bazett: QTc = QT / √RR (RR in seconds)
  2. 2Fridericia: QTc = QT / RR^(1/3) — more accurate
  3. 3RR (sec) = 60 / HR (bpm)
  4. 4Critical: QTc > 500ms requires urgent review

Worked Examples

Bemenet
QT = 380ms, HR = 60 bpm (RR = 1.0s)
Eredmény
QTc (Bazett) = 380ms — Normal

Frequently Asked Questions

Why correct QT for heart rate?

QT interval shortens with faster heart rate. Raw QT depends on HR. Correction isolates intrinsic QT duration. Allows comparison across patients/time.

What does prolonged QTc mean?

Risk factor for torsades de pointes (dangerous arrhythmia). Causes: medications (antipsychotics, antibiotics, antiemetics), electrolyte abnormalities (K, Ca, Mg), congenital (Long QT syndrome).

When should I check QTc?

Baseline ECG before starting QT-prolonging medications. Repeat if adding second drug, or symptoms (syncope, palpitations). Monitor electrolytes (K, Mg critical).

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