Evidence map›Paper›PMID 41552129›Full record

ArticleCureus2025

Dilemma of Finding the Most Useful QTc Formula: A Retrospective Analysis of South-East London.

Rhia Shah, Amol Deokar, Mahnoor Zafar, Sayak Roy, Jagdeep Singh Dagar

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Rhia ShahTrauma and Orthopaedics, Princess Royal University Hospital, King's College NHS Foundation Trust, London, GBR.
Amol DeokarInternal Medicine, Kings College Hospital NHS Trust, London, GBR.
Mahnoor ZafarAcute Medicine, Princess Royal University Hospital, Orpington, GBR.
Sayak RoyAcute Medicine, Princess Royal University Hospital, Orpington, GBR.
Jagdeep Singh DagarEmergency Department, Northampton General Hospital NHS Trust, London, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate measurement of the corrected QT (QTc) interval is crucial for assessing the risk of arrhythmias. Various formulas, including Bazett's, Fridericia's, Framingham's, and Hodges', are used to calculate QTc, but discrepancies between them can lead to clinical misclassification.

objectivesThis study aimed to compare the performance of different QTc formulas and identify the most reliable method for clinical practice.

methodsA retrospective analysis was conducted on 200 type 2 diabetic patients from South-East London. QT and RR intervals were measured to calculate QTc values. Due to the non-normal distribution of QTc values (Shapiro-Wilk test, p < 0.05), non-parametric statistical methods were employed, including the Friedman test and pairwise Wilcoxon signed-rank tests, to assess differences between QTc formulas.

resultsThe mean QTc values differed significantly between formulas, with Bazett's formula producing higher values (445 ± 30 ms) compared to Fridericia's (426 ± 29 ms), Framingham's (424 ± 28 ms), and Hodges' (428 ± 29 ms) formulas. The Friedman test confirmed significant variation across formulas (χ²(3) = 218.86, p < 0.001). Fridericia's formula demonstrated consistent performance and lower variability compared to other formulas.

conclusionThis study highlights the importance of selecting an appropriate QTc correction formula. Fridericia's formula may be a more reliable choice for accurate QTc interval measurement in clinical practice, particularly in patients with varying heart rates.

Indexed as

bazett's formulaframingham formulafridericia's formulahodges formulaqtc interval

Identifiers

PMID41552129
PMCPMC12811695

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