Table 3.
High-risk features suggesting cardiac syncope
High-risk features
|
Past medical history |
Previous myocardial infarction |
Previous cardiovascular condition (i.e., BrS, hypertrophic cardiomyopathy, Long QT syndrome, etc.) |
Syncopal event |
Syncope during exertion or in supine position |
Syncope associated with chest pain, palpitations, breathless, or abdominal pain |
Physical examination |
Signs of heart failure |
Cardiac murmur suggesting specific condition (i.e., aortic stenosis) |
Signs of shock |
Electrocardiogram |
Conduction disturbance (AV block, bundle branch block) |
Pathological Q waves |
Long QT interval |
Pre-excitation syndrome |
Negative T waves |
BrS: Brugada syndrome; AV: Atrio-ventricular.