A nonparametric approach to QT interval correction for heart rate

J Biopharm Stat. 2010 May;20(3):508-22. doi: 10.1080/10543400903581952.

Abstract

We propose to use generalized additive models to fit the relationship between QT interval and RR (RR = 60/heart rate), and develop two new methods for correcting the QT for heart rate: the linear additive model and log-transformed linear additive model. The proposed methods are compared with six commonly used parametric models that were used in four clinical trial data sets and a simulated data set. The results show that the linear additive models provide the best fit for the vast majority of individual QT-RR profiles. Moreover, the QT correction formula derived from the linear additive model outperforms other correction methods.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Arrhythmias, Cardiac / chemically induced*
  • Arrhythmias, Cardiac / diagnosis
  • Arrhythmias, Cardiac / physiopathology
  • Circadian Rhythm
  • Computer Simulation
  • Data Interpretation, Statistical
  • Electrocardiography / statistics & numerical data
  • Heart Rate / drug effects*
  • Humans
  • Linear Models
  • Middle Aged
  • Models, Statistical*
  • Randomized Controlled Trials as Topic / statistics & numerical data*
  • Statistics, Nonparametric*
  • Time Factors
  • Young Adult