Key result
Male fourth-graders show ~6 ms shorter QTc intervals than females, demonstrating early sex differences.
Cohort (n=2,753)
No
This study aims to establish age- and sex-specific QTc cut-offs using Bazett's and Fridericia's formulas during the transition from childhood to adolescence.
Age- and sex-specific QTc cut-offs near puberty may aid LQTS screening; leaves open prospective validation before practice change.
Background: The corrected QT interval (QTc) is essential for long QT syndrome (LQTS) screening. QTc values change with growth, and sex differences emerge at puberty. However, few longitudinal studies have assessed QTc changes across childhood and adolescence, and age- and sex-specific QTc cut-offs using Bazett’s and Fridericia’s formulas (QTcB and QTcF, respectively) near the onset of puberty have not been established.
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Suzuki et al. (2026) conducted a cohort in Long QT syndrome screening (n=2,753). QTc measurement (Bazett's and Fridericia's formulas) vs. Males vs Females was evaluated on Mean QTcB in 4th graders (males vs females) (p=<0.001). Mean corrected QT intervals were significantly shorter in 4th-grade males compared to females, demonstrating that sex differences in QTc emerge as early as 9-10 years of age.
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