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- W4285287584 abstract "Sudden cardiac death (SCD) in athletes and young people is an infrequent, yet devastating occurrence. Screening for conditions associated with SCD, including Long QT Syndrome (LQTS), is widely performed. The international criteria for electrocardiographic interpretation in athletes recommend use of Bazett’s formula (QTcB) for correcting QT interval. However, QTcB has limitations in the setting of heart rate (HR) variability and sinus bradycardia, which are common in athletes and young people. To review various QT correction methods in athletes and young people aged 14 to 35 years old and derive the most accurate means of calculating a corrected QT interval (QTc). A systematic review of MEDLINE, Embase, Scopus, SPORTDiscus and Web of Science databases was performed. Papers comparing at least two different methods of correcting QT interval were included. The search identified 545 papers, of which 47 were included for full text review. Most studies concluded that QTcB was least reliable for removing effect of HR. QTcB is inaccurate at both high (>90bpm) and low (<60bpm) HRs. Alternative QT correction algorithms, Fridericia (QTcF), and Hodges (QTcH) produce more accurate correction of QT interval at HRs seen in athletes and young people. QTcB is less reliable at lower and higher HRs. Alternatively, QTcF and QTcH have been shown to be more accurate in these HR ranges and may be preferred to QTcB for QTc calculation in athletes and young people. However, accurate QTc reference values for discrete HRs using alternative algorithms, QTcF and QTcH, are not well established and require further research." @default.
- W4285287584 created "2022-07-14" @default.
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- W4285287584 date "2022-01-01" @default.
- W4285287584 modified "2023-10-15" @default.
- W4285287584 title "Comparison of Methods for Correcting QT Interval in Athletes and Young People: A Systematic Literature Review" @default.
- W4285287584 doi "https://doi.org/10.1016/j.hlc.2022.04.027" @default.
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