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QTc Calculator

Correct the QT interval for heart rate. Monitor for drug-induced QT prolongation and torsades de pointes risk.

Indication

  • Correct the QT interval for heart rate. Monitor for drug-induced QT prolongation and torsades de pointes risk.

Criteria

  • id: qt; label: QT Interval (ms); type: number; placeholder: e.g. 420
  • id: hr; label: Heart Rate (bpm); type: number; placeholder: e.g. 75
  • id: sex; label: Sex; type: options; options: value: male; label: Male; value: female; label: Female

Clinical pearls

  • QT prolongation is a class effect of many drugs — check crediblemeds.org for drug-drug interactions
  • Correct hypokalemia and hypomagnesemia before and during QT-prolonging drug use
  • Bazett overcorrects at high heart rates — use Fridericia when HR >100
  • QTc >500 ms markedly increases the risk of torsades de pointes

Source and review

  • Bazett HC. Heart 1920; Drew BJ et al. Circulation 2010. Last reviewed: 2025-01-01