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Apex Nursing

QTc Calculator

Correct the QT interval for heart rate (Bazett’s formula) and flag prolongation and torsades risk.

ms
bpm
Sex (for thresholds)

Enter the measured QT interval and heart rate to calculate.

Why correct the QT

The raw QT interval shortens as the heart rate rises and lengthens as it falls, so a raw QT can’t be compared across rates. Bazett’s formula (QTc = QT ÷ √RR) normalizes it to a rate of 60 — the most widely used correction, though it over-corrects at fast rates and under-corrects at slow rates.

A QTc > 500 ms markedly raises the risk of torsades de pointes. Common culprits: antiarrhythmics, many antiemetics and antipsychotics, methadone, some antibiotics (e.g. macrolides, fluoroquinolones), and low potassium or magnesium.