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比较不同公式计算心电图校正 QT(QTc)间期。

Comparison of corrected QT (QTc) interval of electrocardiogram calculated from various formulas.

机构信息

Department of Physiology, All India Institute of Medical Sciences, Deoghar, Jharkhand, India.

Department of Physiology, Raiganj Government Medical College and Hospital, Raiganj, West Bengal, India.

出版信息

Indian Heart J. 2024 Jul-Aug;76(4):303-305. doi: 10.1016/j.ihj.2024.07.006. Epub 2024 Jul 14.

DOI:10.1016/j.ihj.2024.07.006
PMID:39009079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11451423/
Abstract

QT interval in an electrocardiogram (ECG) is interpreted after correction (QTc) by various formulas. This study aimed to compare the QTcs calculated by nine formulas. Sinus rhythm ECG reports of 1140 anonymous subjects showed uncorrected QT interval of 388.49 ± 42.74 ms. The QTc calculated by Bazett (443.96 ± 57.58 ms), Fridericia (424.37 ± 50.1 ms), Dmitrienko (433.59 ± 53.37 ms), Framingham (422.59 ± 45.55 ms), Schlamowitz (433.89 ± 48.05 ms), Hodges (421.6 ± 46.4 ms), Ashman (434.33 ± 54.05 ms), Rautaharju (427.75 ± 47.4 ms), and Sarma (429.22 ± 48.67 ms) showed a significant difference F (8, 10251) = 22.78 p < 0.0001. Hence, ECG should contain the formula for proper reporting and ease of interpretation by clinicians.

摘要

心电图(ECG)中的 QT 间期在经过各种公式校正(QTc)后进行解读。本研究旨在比较 9 种公式计算得出的 QTcs。1140 名匿名受试者的窦性心律心电图报告显示未经校正的 QT 间期为 388.49 ± 42.74 ms。Bazett(443.96 ± 57.58 ms)、Fridericia(424.37 ± 50.1 ms)、Dmitrienko(433.59 ± 53.37 ms)、Framingham(422.59 ± 45.55 ms)、Schlamowitz(433.89 ± 48.05 ms)、Hodges(421.6 ± 46.4 ms)、Ashman(434.33 ± 54.05 ms)、Rautaharju(427.75 ± 47.4 ms)和 Sarma(429.22 ± 48.67 ms)计算的 QTc 存在显著差异 F(8, 10251)= 22.78,p < 0.0001。因此,心电图应该包含适当的报告公式,以便临床医生进行解释。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af83/11451423/cf50f191888b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af83/11451423/cf50f191888b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af83/11451423/cf50f191888b/gr1.jpg

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本文引用的文献

1
Influence of heart rate correction formulas on QTc interval stability.心率校正公式对 QTc 间期稳定性的影响。
Sci Rep. 2021 Jul 12;11(1):14269. doi: 10.1038/s41598-021-93774-9.
2
Which QT Correction Formulae to Use for QT Monitoring?QT监测应使用哪种QT校正公式?
J Am Heart Assoc. 2016 Jun 17;5(6):e003264. doi: 10.1161/JAHA.116.003264.
3
Comparison of formulas for calculation of the corrected QT interval in infants and young children.婴幼儿校正QT间期计算方法的比较。
J Pediatr. 2015 Apr;166(4):960-4.e1-2. doi: 10.1016/j.jpeds.2014.12.037. Epub 2015 Jan 31.
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The measurement of the QT interval.QT间期的测量。
Curr Cardiol Rev. 2014 Aug;10(3):287-94. doi: 10.2174/1573403x10666140514103612.
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J Electrocardiol. 2004;37 Suppl:81-90. doi: 10.1016/j.jelectrocard.2004.08.030.
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Relation between QT and RR intervals is highly individual among healthy subjects: implications for heart rate correction of the QT interval.在健康受试者中,QT间期与RR间期之间的关系具有高度个体差异性:对QT间期心率校正的启示。
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Am J Cardiol. 1996 Oct 15;78(8):920-6. doi: 10.1016/s0002-9149(96)00468-7.
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Rate-corrected QT interval: techniques and limitations.心率校正QT间期:技术与局限性
Am J Cardiol. 1993 Aug 26;72(6):17B-22B. doi: 10.1016/0002-9149(93)90035-b.