Key result
A new formula to calculate the QT interval in the presence of left bundle branch block (QTm = QTb - 50% of QRS duration) yielded values with no significant difference from native QTc intervals.
Why the study?
Does the formula (measured QT minus 50% of LBBB duration) accurately calculate the native QT interval in patients with LBBB?
Observational (n=30)
Blinded
Does the formula (measured QT minus 50% of LBBB duration) accurately calculate the native QT interval in patients with LBBB?
p-value: p > .99 and p > .75
A new formula subtracting 50% of LBBB duration from the measured QT interval accurately estimates the native QT interval in clinical settings.
QTm formula may aid QT estimation in LBBB; leaves open prospective validation before clinical adoption.
BACKGROUND: The evaluation of the QT interval in the presence of left bundle branch block (LBBB) is associated with the challenge to discriminate native QT interval from the prolongation due to the increase in QRS duration. The newest formula to evaluate QT interval in the presence of LBBB suggests: modified QT during LBBB = measured QT interval minus 50% of LBBB duration. The purpose of this study is therefore to validate the abovementioned formula in the clinical setting. METHODS: Validation in two separate groups of patients: Patients who alternated between narrow QRS and intermittent LBBB and patients with narrow QRS who developed LBBB after transcatheter aortic valve implantation (TAVI). RESULTS: The acquired mean native QTc intervals and those calculated by the presented formula displayed no significant differences (p > .99 and p > .75). CONCLUSIONS: In this study we proved for the first time the validity and applicability of the experimentally acquired formula for the evaluation of the QT interval in the presence of LBBB in a clinical setting.
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Bogossian et al. (2016) conducted an observational in Left bundle branch block (n=30). New QT correction formula (QTm = QTb - QRSb/2) vs. Measured QTc during narrow QRS was evaluated on Difference between calculated modified QTc during LBBB and measured QTc during narrow QRS (p=p > .99 and p > .75). A new formula to calculate the QT interval in the presence of left bundle branch block (QTm = QTb - 50% of QRS duration) yielded values with no significant difference from native QTc intervals.