Table 4.
Modified LQTs scoring system.
Findings | Points | ||
ECG | QTc | 480 ms | 3.5 |
460 ms–479 ms | 2 | ||
450 ms–459 ms | 1 | ||
480 ms in 4th minute of recovery from exercise stress test | 1 | ||
Torsades de pointes | 2 | ||
T-wave alternans | 1 | ||
Notched T-wave in 3 leads | 1 | ||
Low hearth rate for age | 0.5 | ||
Clinical history | Syncope with stress | 2 | |
Syncope without stress | 1 | ||
Family history | Family member with definitive LQTs | 1 | |
Unexplained SCD in first degree family member at age 30 | 0.5 | ||
Genetic testing | Definitive pathogenic mutation | 3.5 |
ECG, electrocardiogram; QTc, corrected QT interval; LQTs, long QT syndrome; SCD, sudden cardiac death.
Modified from 2022 ESC Guidelines [2].