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Free QTc Calculator

Calculate your corrected QT interval adjusted for heart rate. An essential tool for screening Long QT Syndrome and assessing medication-related cardiac risks.

ms
Please enter a valid QT interval (200-700 ms)
Measure from start of Q wave to end of T wave
bpm
Please enter a valid heart rate (30-250 bpm)
Used for clinical interpretation
Takes less than 30 seconds

Your QTc Results

Disclaimer: This calculator is for educational and informational purposes only. It should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider for ECG interpretation and clinical decisions.

What is QTc Interval?

Corrected QT Interval explained

The QTc Calculator estimates your corrected QT interval adjusted for heart rate. A prolonged QT interval increases risk of dangerous arrhythmias.

Your heart's electrical system needs time to "reset" between beats. The QT interval measures this recovery time. When it's too long, your heart becomes vulnerable to irregular rhythms, like an engine that doesn't fully reset before the next cycle.

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Electrical Reset

The QT interval measures how long it takes your heart's ventricles to recharge between beats. A longer QT means slower recovery.

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Heart Rate Adjustment

Since heart rate affects QT duration, we "correct" it to get a standardized value comparable across different heart rates.

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Risk Assessment

A prolonged QTc increases risk of dangerous arrhythmias, including the life-threatening Torsades de Pointes.

How QTc Detects Heart Rhythm Problems

Comparing normal and prolonged QT intervals on ECG

Normal QT Interval

QT
Normal QTc interval for adult males

Prolonged QT Interval

Prolonged QT
Delayed recovery, arrhythmia risk

Understanding Your QTc Results

The science behind stroke prevention in AFib

Normal (Men)

<450 ms

Normal QTc interval for adult males

Normal (Women)

<460 ms

Normal QTc interval for adult females

Borderline

450-500 ms

May be mildly prolonged, discuss with doctor

Prolonged

>500 ms

Significantly prolonged, higher arrhythmia risk

Understanding Your QTc Results

Bazett Formula

QTc = QT / √RR
Most commonly used. Works best at normal heart rates (60-100 bpm).

Fridericia Formula

QTc = QT / βˆ›RR
More accurate at extreme heart rates. Recommended by some guidelines.

Framingham Formula

QTc = QT + 154(1-RR)
Linear correction method, particularly useful in certain populations.

Hodges Formula

QTc = QT + 1.75(HR-60)
Alternative method using heart rate directly instead of RR interval.

Common Medications That Can Prolong QTc

Many widely prescribed medications can affect your QT interval. Always inform your doctor about all medications you're taking.

Antibiotics

β€’ Azithromycin (Z-pack)
β€’ Fluoroquinolones (Cipro, Levaquin)
β€’ Macrolides (Erythromycin)

Antidepressants

β€’ Citalopram (Celexa)
β€’ Escitalopram (Lexapro)
β€’ TCAs (Amitriptyline)

Antipsychotics

β€’ Haloperidol (Haldol)
β€’ Quetiapine (Seroquel)
β€’ Ziprasidone (Geodon)

Heart Medications

β€’ Amiodarone (Cordarone)
β€’ Sotalol (Betapace)
β€’ Dofetilide (Tikosyn)

Antihistamines

β€’ Older generation antihistamines
β€’ Diphenhydramine (Benadryl)
β€’ Hydroxyzine (Atarax)

Anti-nausea

β€’ Ondansetron (Zofran)
β€’ Domperidone (Motilium)
β€’ Metoclopramide (Reglan)

Frequently Asked Questions

What is QTc?

QTc stands for "corrected QT interval" - a measurement of your heart's electrical activity adjusted for your heart rate. The QT interval shows how long it takes for your heart's ventricles to recharge between beats. Since heart rate affects this measurement, we "correct" it to get a standardized value that can be compared across different heart rates.

Why is QTc important?

A prolonged QTc interval can increase your risk of dangerous heart rhythm problems, including a life-threatening arrhythmia called Torsades de Pointes. Many medications, genetic conditions, and electrolyte imbalances can prolong your QTc. Doctors check QTc before prescribing certain medications and monitor it during treatment.

How does the QTc calculator work?

The calculator takes two measurements from your ECG - the QT interval (in milliseconds) and your heart rate (in beats per minute) - and applies a correction formula. The most common formula is Bazett's formula, though other formulas like Fridericia's or Framingham's may be used depending on your heart rate range.

What do the results mean?

Normal QTc values are generally:
- Men: less than 450 milliseconds
- Women: less than 460 milliseconds

A QTc between 450-500ms may be borderline or mildly prolonged. Values above 500ms are considered significantly prolonged and carry higher risk of arrhythmias.

Can medications affect my QTc?

Yes! Many common medications can prolong QTc, including certain antibiotics, antidepressants, antipsychotics, anti-arrhythmics, and antihistamines. Always inform your doctor about all medications you're taking, and never stop medications without medical guidance.

Can I lower my QTc if it's prolonged?

Treatment depends on the cause. If medications are prolonging your QTc, your doctor may adjust doses or switch medications. Correcting electrolyte imbalances (like low potassium or magnesium) can help. If you have congenital long QT syndrome, your doctor may prescribe beta-blockers or other treatments and recommend avoiding certain triggers.

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