EGSYS_Score_Syncope v.1
EGSYS (Evaluation of Guidelines in SYncope Study) Score for Syncope predicts likelihood that syncope is from cardiac cause.
Predicts likelihood that syncope is from cardiac cause.
Finding: Points: Abnormal EKG(1) and/or heart disease (2) +3 Palpitations before syncope +4 Syncope during effort +3 Syncope in supine position +2 Autonomic prodromes(3) -1 Predisposing and/or precipitating factors(4) -1 1. Sinus bradycardia, AV block >1st degree, BBB, acute or old MI, SVT or VT, left or right ventricular hypertrophy, ventricular preexcitation, long QT, or Brugada pattern. 2. Previous clinical or laboratory diagnosis of any form of structural heart disease, including ischemic heart disease, valvular dysfunction, myocardiopathies and congenital heart disease; previous diagnosis or clinical evidence of CHF; physical signs of structural heart disease. 3. Nausea/vomiting. 4. Warm or crowded place, prolonged orthostasis, fear/pain/other emotion. Interpretation: EGSYS: Interpretation: Mortality at 21–24 months: ≥3 Cardiac syncope likely (95% sensitive) 17% <3 Cardiac syncope less likely 3%
1. Del Rosso A, Ungar A, Maggi R, et al. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to a general hospital: the EGSYS score. Heart. 2008;94(12):1620-6.
EVALUATION.egsys_score_syncope.v0
