QTc Interval: A frequently unrecognized electrocardiographic interval

Am J Med Sci. 2024 Nov;368(5):532-537. doi: 10.1016/j.amjms.2024.04.020. Epub 2024 May 1.

Abstract

The QT interval, an electrocardiographic temporal representation of the ventricular depolarization and repolarization, is an integral parameter that must be carefully evaluated to gather critical information regarding electrical instability that may cause malignant ventricular dysrhythmias or sudden cardiac death. The QT interval is affected by several inheritable and acquired factors, such as genetic mutations, electrolyte disturbances, and medication interactions. We strongly believe that prompt and accurate recognition of any QT interval abnormalities is critical in many clinical settings. This concise review article highlights the importance of accurate measurement of the QT interval, enhances understanding of the most prevalent factors yielding abnormalities within the QT interval and the prognostic value of the QT interval, as well as provides several key practical reminders for healthcare professionals to strengthen our clinical practice.

Keywords: Electrocardiogram; Heart rate; Qt interval; Sudden cardiac death; Ventricular arrhythmias.

Publication types

  • Review

MeSH terms

  • Arrhythmias, Cardiac / diagnosis
  • Arrhythmias, Cardiac / physiopathology
  • Electrocardiography* / methods
  • Humans
  • Long QT Syndrome* / diagnosis
  • Long QT Syndrome* / physiopathology