Evidence map›Paper›PMID 31654357›Full record

ReviewJournal of general internal medicine2020

Measurement and Management of QT Interval Prolongation for General Physicians.

Praveen Indraratna, Daniel Tardo, Madeline Delves, Richard Szirt, Ben Ng

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06002750 (The Third People's Hospital of Hangzhou), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06002750 completednot on this mapstarted 2021, after this paper: background citation

The Third People's Hospital of Hangzhou

TypeobservationalSponsorThe Third People's Hospital of HangzhouRan2021 to 2022Enrolled100ConditionsDermatomyositis, Myocardial Repolarization, InflammationArmsdisease
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The diagnostic role of T wave morphology biomarkers in congenital and acquired long QT syndrome: A systematic review.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2023
    Pooled it
  2. [Practical management of drug-induced long QT syndrome].Innere Medizin (Heidelberg, Germany) · 2026
    Review
  3. Channelopathy linkingJCEM case reports · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Psychiatric Medications and QTc Prolongation in the Pediatric Population.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025
    Article
  11. Observational
  12. Article
  13. Review
  14. Article
  15. Amiodarone Therapy: Updated Practical Insights.Journal of clinical medicine · 2024
    Review
  16. Article
  17. Use of portable single-lead electrocardiogram device as an alternative for QTc monitoring in critically ill patients.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Praveen IndraratnaDepartment of Cardiology, Prince of Wales Hospital, Sydney, NSW, 2031, Australia. praveen@unsw.edu.au.ORCID http://orcid.org/0000-0003-0301-2835
Daniel TardoDepartment of Medicine, St Vincent's Hospital, Sydney, Australia.
Madeline DelvesDepartment of Psychiatry, Bloomfield Hospital, Orange, Australia.
Richard SzirtDepartment of Cardiology, St George Hospital, Sydney, Australia.
Ben NgDepartment of Cardiology, Prince of Wales Hospital, Sydney, NSW, 2031, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the more challenging aspects of ECG interpretation is measurement and interpretation of the QT interval. This interval represents the time taken for the ventricles to completely repolarise after activation. Abnormal prolongation of the QT interval can lead to torsades de pointes, a form of potentially life-threatening polymorphic ventricular tachycardia (VT). Detection of a prolonged QT interval is essential as this can be a reversible problem, particularly in the context of the use of a variety of commonly prescribed medications in the hospital setting. Automated ECG printouts cannot be relied upon to diagnose QT interval prolongation; thus, the onus is on the clinician to identify it. This is a difficult task, as the normal QT interval is typically measured relative to the heart rate. Therefore, the QT interval often requires "correction" for the current heart rate, in order to correctly stratify the risk of torsades de pointes. A wealth of correctional formulae have been derived, but none has proven superior. We present an approach to the ECG in this context, and a step-by-step guide to manually measuring and correcting the QT interval, and an approach to management in common hospital-based clinical scenarios.

Indexed as

Long QT SyndromePhysiciansTorsades de PointesElectrocardiographyHumansantiarrhythmicsantipsychoticselectrocardiogramQT intervaltorsades de pointes

Identifiers

PMID31654357
PMCPMC7080915

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.