Correction of the QT interval in children.
We evaluated the usefulness of 11 formulas for correcting the QT interval in children, including the square root, cubic root, logarithmic, linear, exponential, and inverse formulas using the Mean-squared residual (MSR) values and Akaike Information Criterion (AIC) in 8,086 first-graders, 9,989 seventh-graders, and 5,786 tenth-graders. The subjects were divided into six groups according to age and sex. MSR and AIC values were lowest in all of the groups for the exponential formula (eQTc) and Fridericia's formula (fQTc). We then evaluated the relative usefulness of these two formulas by determining the optimal value for parameter k using the following exponential model: eQTc = (QT interval)/(RR interval)k. The best-fit value for k was different for each group. However, the tentative abnormal eQTc and fQTc values, determined by statistical analysis, were equivalent in all groups when 0.31 was used as the exponential parameter k. These results suggest that the exponential formula and Fridericia's formula are equally useful for screening for QT prolongation.
Aihoshi
S
S
Department of Pediatrics, Faculty of Medicine, Kagoshima University, Japan.
Yoshinaga
M
M
Tomari
T
T
Nakamura
M
M
Nomura
Y
Y
Oku
S
S
Haraguchi
T
T
Osawa
N
N
Miyata
K
K
D000293:Adolescent; D002648:Child; D004562:Electrocardiography / Q000379:methods; D005069:Evaluation Studies as Topic; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008432:Mathematical Computing; D008955:Models, Cardiovascular