Biological Variation of Corrected QT and QRS Electrocardiogram Intervals: Interpreting Results of Drug-induced Prolongation

We demonstrated a significant difference in QRS duration between healthy males and females as well as a low II, particularly for the QRS interval, indicating that the CV<sub>G</sub> is greater than the CV<sub>I</sub> among these ECG intervals. In this study we also determined that one ECG is needed to establish a homeostatic set point for patients. If a baseline ECG is available, medical toxicologists would benefit from using the baseline tracing as an internal reference for determining QRS and QTc prolongation in the individual patient rather than a predetermined universal threshold for managing poisoned patients.

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Publication Details

Journal
Western Journal of Emergency Medicine
Published
2025-07-12
DOI
https://doi.org/10.5811/westjem.33602
Primary Topic
Cardiac electrophysiology and arrhythmias
Type
article
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article

Biological Variation of Corrected QT and QRS Electrocardiogram Intervals: Interpreting Results of Drug-induced Prolongation

Emily Kelly, Alan Wu, Kayla Kendric, Caitlin Roake
Western Journal of Emergency Medicine
Cardiac electrophysiology and arrhythmias
article

Biological Variation of Corrected QT and QRS Electrocardiogram Intervals: Interpreting Results of Drug-induced Prolongation

Emily Kelly, Alan Wu, Kayla Kendric, Caitlin Roake
article en

Abstract

We demonstrated a significant difference in QRS duration between healthy males and females as well as a low II, particularly for the QRS interval, indicating that the CV<sub>G</sub> is greater than the CV<sub>I</sub> among these ECG intervals. In this study we also determined that one ECG is needed to establish a homeostatic set point for patients. If a baseline ECG is available, medical toxicologists would benefit from using the baseline tracing as an internal reference for determining QRS and QTc prolongation in the individual patient rather than a predetermined universal threshold for managing poisoned patients.

Western Journal of Emergency MedicineVol. 26(4)
University of California, San Francisco (US)
Good health and well-being
Openalex Percentile: Top 72%
Cardiac electrophysiology and arrhythmias
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