Beat-to-beat QT interval variability in children: normal and physiologic data

J Electrocardiol. 2011 May-Jun;44(3):326-9. doi: 10.1016/j.jelectrocard.2010.07.016. Epub 2010 Sep 21.

Abstract

Background: QT interval variability provides information on ventricular vulnerability. However, QT interval variability in children has not been adequately evaluated.

Methods: One hundred seventy-three consecutive nursing infants and children (male-female, 106:67) up to school age with no intrinsic cardiac disease were included in this study, and they were categorized into 6 age-related groups. The QT variability index (QTVI) was calculated based on an electrocardiogram; and age-specific standard values, sex-specific classification, and a standard growth curve covering 0 to 7 years were constructed.

Results: The QTVI decreased in an age-dependent manner, reached constant values after school age, and exhibited no sex-specific differences in 6 age-related groups.

Conclusions: Based on the age-dependent standardized QTVI values, it is possible to estimate the instability of ventricular repolarization in pediatric patients with better accuracy.

MeSH terms

  • Age Factors
  • Child
  • Child, Preschool
  • Electrocardiography / methods*
  • Female
  • Heart Conduction System / physiology*
  • Heart Rate / physiology
  • Humans
  • Infant
  • Male
  • Reference Values
  • Statistics, Nonparametric