Open AccessAssessment of the Stability of the Individual‐Based Correction of QT Interval for Heart Rate
Author(s) -
Couderc JeanPhilippe,
Xiaojuan Xia,
Zareba Wojciech,
Moss Arthur J.
Publication year - 2005
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/j.1542-474x.2005.00593.x
Subject(s) - qt interval , bootstrapping (finance) , heart rate , medicine , linear regression , stability (learning theory) , electrocardiography , statistics , confidence interval , amplitude , interval (graph theory) , regression , range (aeronautics) , regression analysis , cardiology , mathematics , econometrics , blood pressure , physics , computer science , machine learning , combinatorics , materials science , quantum mechanics , composite material
Background: Modeling the relationship between QT intervals and previous R‐R values remains a challenge of modern quantitative electrocardiography. The technique based on an individual regression model computed from a set of QT–R‐R measurements is presented as a promising alternative. However, a large set of QT–R‐R measurements is not always available in clinical trials and there is no study that has investigated the minimum number of QT–R‐R measurements needed to obtain a reliable individual QT–R‐R model. In this study, we propose guidelines to ensure appropriate use of the regression technique for heart rate correction of QT intervals. Method: Holter recordings from 205 healthy subjects were included in the study. QT–R‐R relationships were modeled using both linear and parabolic regression techniques. Using a bootstrapping technique, we computed the stability of the individual correction models as a function of the number of measurements, the range of heart rate, and the variance of R‐R values. Results: The results show that the stability of QT–R‐R individual models was dependent on three factors: the number of measurements included in its design, the heart‐rate range used to design the model, and the T‐wave amplitude. Practically our results showed that a set of 400 QT–R‐R measurements with R‐R values ranging from 600 to 1000 ms ensure a stable and reliable individual correction model if the amplitude of the T wave is at least 0.3 mV. Reducing the range of heart rate or the number of measurements may significantly impact the correction model. Conclusion: We demonstrated that a large number of QT–R‐R measurements (∼400) is required to ensure reliable individual correction of QT intervals for heart rate.