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April 1, 2011Annals of Noninvasive ElectrocardiologyOpen Access

Slow QT Interval Adaptation to Heart Rate Changes in Normal Ambulatory Subjects

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Why the study?

Do linear models incorporating HR history improve the accuracy of QT correction compared to models using instantaneous HR in healthy volunteers?

Population

29 healthy volunteers across two independent populations.

Comparison

Linear models of QT interval dependence on a… vs Models based on the immediately preceding RR…

Design

Cohort

Authors

EREathar RazakFranciscan HealthMBMarie BuncováInstitute of Clinical and Experimental MedicineVSVladimir ShustermanUniversity of Iowa

Discussion

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Implication

May support refined QT correction via HR memory; leaves open validation and outcome impact before clinical use.

Structured PICO

Do linear models incorporating HR history improve the accuracy of QT correction compared to models using instantaneous HR in healthy volunteers?

P
Population
29 healthy volunteers across two independent populations (Population A: n=14, 6 males, age 26.9 ± 12.3 yr; Population B: n=15, 9 males, age 52.9 ± 15.6 yr).
I
Intervention
Linear models of QT interval dependence on a weighted average of RR intervals in the preceding 3 minutes (including exponential decay of HR effect with 60 s time constant)
C
Comparator
Models based on the immediately preceding RR interval (instantaneous HR), including Bazett and Fridericia formulas
O
Outcome
Model fit for QT interval dependence on HRsurrogate

QT duration is affected by heart rate history dating back more than 60 seconds, and incorporating this memory effect improves QT correction accuracy compared to standard formulas.

Cite This Study

Razak et al. (2011) studied this question.

synapsesocial.com/papers/6a8a57442e8050e6742e5187https://doi.org/10.1111/j.1542-474x.2011.00420.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1QT Interval Variability and Adaptation to Heart Rate Changes in Patients with Long QT Syndrome2008 · 29 citations
  2. 2Beat‐To‐Beat Behavior of QT Interval During Conducted Supraventricular Rhythm in the Normal Heart1994 · 19 citations
  3. 3Heart Rate Dependence of the QT Interval Duration:2004 · 42 citations
  4. 4Relation of human cardiac action potential duration to the interval between beats: implications for the validity of rate corrected QT interval (QTc).1987 · 109 citations
  5. 5Near‐Thorough QT Study as Part of a First‐In‐Man Study2008 · 30 citations