Tisdale Risk Score for QT Prolongation

Tisdale QT-prolongation risk score (Tisdale 2013): age ≥ 68 (1), female (1), loop diuretic (1), K ≤ 3.5 (2), admission QTc ≥ 450 ms (2), acute MI (2), sepsis (3), heart failure (3), QT-prolonging drugs (one 3, ≥ two 6).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Sepsis
Yes
Heart failure
Yes
Age ≥ 68 years
Yes

Result: Tisdale QT risk 7/21: moderate (7-10) risk of drug-associated QTc prolongation.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Score 0-21
age >= 68 (1), female (1), loop diuretic (1), K <= 3.5 (2), QTc >= 450 (2), acute MI (2), sepsis (3), heart failure (3), QT drugs (one 3, >= two 6).
Risk band
low <= 6, moderate 7-10, high >= 11 for drug-associated QTc prolongation. Takes the entered admission QTc, not a raw tracing. Cross-links qtc-suite.

What you enter

  • Age ≥ 68 years
  • Female sex
  • Loop diuretic
  • Serum potassium ≤ 3.5 mEq/L
  • Admission QTc ≥ 450 ms
  • Acute MI
  • Sepsis
  • Heart failure
  • QT-prolonging drugs
How this is calculated

Tisdale JE, Jaynes HA, Kingery JR, et al. Development and validation of a risk score to predict QT interval prolongation in hospitalized patients. Circ Cardiovasc Qual Outcomes. 2013;6(4):479-487. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.