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QTc Calculator

QTc calculator corrects the QT interval for heart rate using Bazett, Fridericia, and Framingham formulas. Normal QTc is below 450ms in males and 460ms in females, with values above 500ms carrying high arrhythmia risk.

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Formula

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Core Formula
QTc=QTRRQTc = \frac{QT}{\sqrt{RR}}

How it works: Adjusts the QT interval for heart rate to identify risk of dangerous arrhythmias.

Worked Example

QT 400ms, HR 60 BPM -> QTc 400ms.

Why Correct the QT Interval?

The QT interval on an ECG represents the time for the heart's ventricles to depolarize and repolarize. Because this interval changes with heart rate, doctors use "corrected" values (QTc) to identify true abnormalities.

  • Bazett's: QTc = QT / sqrt(RR) (most common, but overcorrects at high HR)
  • Fridericia's: QTc = QT / cube root(RR) (often preferred at higher heart rates)
  • Normal QTc: below 450ms in males, below 460ms in females
  • Prolonged QTc (>500ms) is associated with high risk of Torsades de Pointes
  • Electrolyte imbalances (low potassium, magnesium, calcium) can prolong QT

The QTc is only one part of an ECG assessment. Clinical context, electrolyte levels, and medications must be considered when evaluating a prolonged QT. This tool is for educational reference only.

You can also calculate changes using our BMI Calculator or Ideal Weight Calculator.

Corrected QT Interval (QTc) Reference Ranges

Normal and abnormal QTc values by sex using the Bazett formula. Prolonged QTc increases the risk of Torsades de Pointes and sudden cardiac death.

QTc Range (ms)MaleFemaleClinical Significance
Less than 390NormalNormalNo concern
390-450NormalNormalWithin normal limits for both sexes
451-470Borderline prolongedNormalMales: monitor, review medications
451-480ProlongedBorderline prolongedReview QT-prolonging drugs
471-500 (male) / 481-500 (female)ProlongedProlongedHigh risk: discontinue QT-prolonging drugs, cardiology consult
Greater than 500Markedly prolongedMarkedly prolongedTorsades de Pointes risk: immediate intervention, continuous monitoring

Note: Bazett formula: QTc = QT / sqrt(RR interval). Common QT-prolonging drugs include antiarrhythmics (amiodarone, sotalol), antibiotics (azithromycin, fluoroquinolones), antipsychotics (haloperidol), and antiemetics (ondansetron). Electrolyte abnormalities (low potassium, magnesium, calcium) also prolong QT. For educational reference only.

Frequently Asked Questions

What is QTc?

QTc is the QT interval of your heart rhythm adjusted for your heart rate. It helps clinicians determine if the heart's electrical recharging system is functioning properly regardless of how fast the heart is beating.

Which formula should I use?

Bazett's is the most widely used. Fridericia's is often considered more accurate at heart rates above 100 or below 60 BPM because Bazett's tends to overcorrect at extreme rates.

What is a dangerous QTc level?

A QTc over 500ms is considered high risk for Torsades de Pointes, a life-threatening ventricular arrhythmia. Normal thresholds are below 450ms for males and below 460ms for females.

What causes a prolonged QT interval?

Common causes include certain medications (antiarrhythmics, antibiotics, antipsychotics), electrolyte imbalances (low potassium, magnesium, or calcium), and congenital long QT syndrome.

What is Torsades de Pointes?

Torsades de Pointes is a specific type of polymorphic ventricular tachycardia associated with QT prolongation. It can degenerate into ventricular fibrillation and cardiac arrest if untreated.

Is this calculator a substitute for clinical ECG interpretation?

No. This tool provides QTc estimates for educational purposes only. ECG interpretation requires a trained clinician who considers the full clinical picture, including medications, electrolytes, and patient history.

Can I use this QTc Calculator on my own web page?

You can. Look for the "Embed" button near the top of this calculator. It lets you pick a size, border style, and color palette, then gives you an iframe tag to paste into any webpage. The widget is responsive, loads fast, and costs nothing. More details at calculory.com/services/embed-calculators.

Medical Disclaimer

This calculator is provided for informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making any decisions based on these results. Do not disregard or delay seeking medical advice because of information obtained from this tool.

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