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Calcimator

Corrected QT Interval (QTc) Calculator

Calculate the corrected QT interval using Bazett, Fridericia, Framingham, and Hodges formulas from QT interval and heart rate.

About this calculator

The QT interval on an ECG lengthens or shortens with heart rate on its own, independent of any underlying cardiac problem, so it must be "corrected" to a standardized rate of 60 bpm before it can be compared across patients or over time. This calculator computes that correction four ways from the same two inputs, measured QT Interval and Heart Rate. Bazett's formula (1920), QTc = QT / sqrt(RR), is the most widely used clinically despite being known to over-correct at heart rates outside the roughly 60-100 bpm range. Fridericia's formula, QTc = QT / RR^(1/3), uses a gentler cube-root exponent and is generally preferred at heart rate extremes.

Framingham's linear regression formula (Sagie et al., 1992), QTc = QT + 0.154 x (1 - RR), and Hodges' formula (1983), QTc = QT + 1.75 x (HR - 60), take a different, additive approach rather than dividing by a power of RR. All four ultimately move in the same direction as the two inputs: raising QT Interval raises every QTc value one-for-one in the underlying units, and -- because none of the four correction formulas is perfectly rate-independent -- raising Heart Rate also raises all four QTc values across this calculator's full 30-200 bpm range, with Bazett's correction climbing the most steeply of the four at high heart rates, the well-documented over-correction that is exactly why Fridericia or Hodges are often favored when heart rate is far from normal. This calculator's single Prolonged flag uses a general 460 ms Bazett cutoff rather than the sex-specific thresholds (over 450 ms in men, over 470 ms in women per AHA/ACC guidance) since it takes no sex input -- treat it as a rough screen, not a diagnostic cutoff.

Inputs

ms

Normal QT: 350–440 ms; prolonged QTc: >450 ms (male) or >470 ms (female) per AHA

bpm

Normal HR: 60–100 bpm; Bazett formula most accurate 60–100 bpm (less so at extremes)

Results

QTc (Bazett)

438ms

QTc (Fridericia)

425ms

QTc (Framingham)426ms
QTc (Hodges)421ms
RR Interval0.83sec
Prolonged (Bazett >460ms)0(0=No, 1=Yes)

Figures current as of 1992. Sources: Bazett HC. An analysis of the time-relations of electrocardiograms. Heart. 1920;7:353-370., Fridericia LS. Die Systolendauer im Elektrokardiogramm bei normalen Menschen und bei Herzkranken. Acta Med Scand. 1920;53:469-486., Sagie A, Larson MG, Goldberg RJ, Bengtson JR, Levy D. An improved method for adjusting the QT interval for heart rate (the Framingham Heart Study). Am J Cardiol. 1992;70(7):797-801.

How to Use This Calculator
  1. Enter the measured QT interval (ms) and heart rate (bpm).
  2. Review QTc by Bazett, Fridericia, Framingham, and Hodges formulas.
  3. Bazett is most widely used clinically; Fridericia is preferred at extreme heart rates.
  4. QTc > 500 ms by any formula is critically prolonged.

How the result changes with QT Interval

QT IntervalQTc (Bazett)QTc (Fridericia)
200219ms213ms
300329ms319ms
600657ms638ms
700767ms744ms

What each input means

QT Interval
Measured QT interval from the 12-lead ECG in milliseconds. Normal QT: 350–440 ms. Prolonged QTc (>450 ms men, >470 ms women) increases torsades de pointes risk.
Heart Rate
Heart rate in beats per minute for RR interval calculation. RR interval (seconds) = 60 ÷ heart rate. Bazett formula: QTc = QT ÷ √RR. Most accurate at heart rates 60–100 bpm.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    QT Interval = 400, Heart Rate = 72 = 2 input(s) provided
  2. Calculate QTc
    QTc
    438 = 438
  3. Calculate QTc
    QTc
    425 = 425
  4. Calculate QTc
    QTc
    426 = 426
  5. Calculate QTc
    QTc
    421 = 421

Figures and sources

Engine last updated . Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.

Frequently Asked Questions

Why do Bazett, Fridericia, Framingham, and Hodges give different QTc values for the same ECG?

Each formula corrects for heart rate differently -- Bazett divides by the square root of the RR interval, Fridericia by its cube root, and Framingham and Hodges add a heart-rate-dependent term instead of dividing at all. They agree closely near a heart rate of 60 bpm (where RR = 1 second and every formula reduces to QTc = QT) and diverge more the further heart rate moves from that point.

Why does QTc rise as heart rate rises, if it's supposed to be 'corrected' for heart rate?

None of these four formulas is a perfect correction -- each is an empirical fit, not an exact physiological law -- so all four still drift upward with heart rate across this calculator's full 30-200 bpm range rather than staying flat. Bazett's square-root correction is the most heart-rate-sensitive of the four, which is the well-documented reason it tends to over-correct (read as falsely prolonged) at fast heart rates.

Why does this calculator use a single 460 ms cutoff instead of separate cutoffs for men and women?

Current AHA/ACC guidance uses sex-specific Bazett thresholds -- prolonged above 450 ms in men and above 470 ms in women -- but this calculator has no sex input, so its Prolonged flag uses 460 ms, a general value between the two, as a rough screen rather than a diagnostic cutoff. A result near that line should be interpreted using the sex-specific thresholds, not this calculator's single number.

Which QTc formula should I trust most at a very fast or very slow heart rate?

Fridericia's cube-root correction and Hodges' linear correction are generally considered more reliable than Bazett's at heart rates well outside the roughly 60-100 bpm range, since Bazett's square-root correction over-corrects most sharply at those extremes. Clinical guidelines and drug-safety studies increasingly report Fridericia alongside or instead of Bazett for this reason.

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