Evidence map›Paper›PMID 39476810›Full record

ArticleCardiology2025

Optimal QT Correction Formula for Older Chinese: Guangzhou Biobank Cohort Study.

Wen Bo Tian, Wei Sen Zhang, Chao Qiang Jiang, Xiang Yi Liu, Feng Zhu, Ya Li Jin, Tong Zhu, Tai Hing Lam, Kar Keung Cheng, Lin Xu

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Article in Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Wen Bo TianSchool of Public Health, Sun Yat-Sen University, Guangzhou, China.
Wei Sen ZhangGuangzhou Twelfth People's Hospital, Guangzhou, China.
Chao Qiang JiangGuangzhou Twelfth People's Hospital, Guangzhou, China.
Xiang Yi LiuGuangzhou Center for Disease Control and Prevention, Guangzhou, China.
Feng ZhuGuangzhou Twelfth People's Hospital, Guangzhou, China.
Ya Li JinGuangzhou Twelfth People's Hospital, Guangzhou, China.
Tong ZhuGuangzhou Twelfth People's Hospital, Guangzhou, China.
Tai Hing LamGuangzhou Twelfth People's Hospital, Guangzhou, China.
Kar Keung ChengInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Lin XuSchool of Public Health, Sun Yat-Sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo identify the optimal QT correction formula for generating corrected QT (QTc) and cutoffs for prolonged QTc, and examine the associations with mortality and cardiovascular disease (CVD) in older Chinese.

methodsA prospective study included 24,611 Chinese aged 50+ years and without CVD at 2003-2008 from Guangzhou Biobank Cohort Study. QT interval was corrected by Bazett, Fridericia, Framingham and Hodges formulas. The slope and R2 of the QTc and heart rate regression were used to determine the optimal correction formula. The 95th percentile of QTc was used to defined prolonged QTc. Cox regression was used to examine associations of prolonged QTc with mortality and CVD. The net reclassification index was calculated to assess risk reclassification.

resultsDuring an average follow-up of 15.3 years, 5,261 deaths and 5,539 CVD occurred. Optimal heart correction was observed for the Hodges formula, and Bazett formula performed the worst. Prolonged QTc corrected by Fridericia, Framingham and Hodges formulas had similar association strength with all-cause mortality, CVD mortality and incident CVD (especially coronary heart disease, myocardial infarction and ischemic stroke), with hazard ratios approximately being 1.25, 1.40, and 1.15, respectively. They also improved risk reclassification for all-cause mortality, CVD mortality and incident CVD by approximately 5%, 10%, and 6%, respectively. However, prolonged QTc corrected by Bazett formula was not associated with incident CVD and did not improve risk reclassification.

conclusionsHodges formula outperformed other formulas for heart rate correction. Fridericia, Framingham, and Hodges formulas can be used for death and cardiovascular risk prediction.

Indexed as

Cardiovascular DiseasesElectrocardiographyLong QT SyndromeAgedChinaCohort StudiesEast Asian PeopleFemaleHeart RateHumansMaleMiddle AgedProspective StudiesRisk AssessmentCardiovascular eventsElectrocardiogramEpidemiologyQT interval

Identifiers

PMID39476810
PMCPMC12324792

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