Table 5a.
Guideline Elements: Candidate Predictors (>80% Panel Consensus)
| Data on the following elements should be collected and reported: |
| Demographic characteristics |
| 43 Age |
| 44 Sex |
| Historical features |
| 45 Exertion |
| 46 While driving |
| 47 Time of syncope event |
| 48 Supine position |
| 49 Sitting position |
| 50 Lack of warning symptoms |
| 51 Chest discomfort |
| 52 Shortness of breath |
| 53 Palpitations |
| 54 Traumatic injury (laceration, fracture, intracranial bleed, thoraco-abdominal injury) |
| 55 Lightheadedness |
| 56 Standing from supine/ sitting position |
| 57 Post-prandial (within 1 hour of meal) |
| 58 Nausea/ vomiting |
| 59 Feeling of warmth |
| 60 Diaphoresis |
| 61 Blurred vision |
| 62 Any prodromes lasting greater than 5 seconds |
| 63 Triggered by painful/ emotionally distressing stimulus |
| 64 Triggered by turning head/ cough/ micturation/ defecation |
| Co-morbidities |
| 65 Premature (<50 years) sudden death in sibling or parents |
| 66 Congestive heart failure |
| 67 Coronary artery disease (past MI/ PTCA/ CABG) |
| 68 Congenital heart disease |
| 69 Structural heart disease- aortic stenosis |
| 70 Structural heart disease- outflow tract disease, excluding aortic stenosis (e.g. idiopathic hypertrophic subaortic stenosis) |
| 71 Structural heart disease- ejection fraction <40% by objective testing (e.g. echocardiogram, cardiac catheterization) within one year |
| 72 Structural heart disease- pulmonary hypertension |
| 73 Structural heart disease- valve disease, excluding aortic stenosis and mitral prolapse |
| 74 Arrhythmia- ventricular tachycardia/ ventricular fibrillation/ sudden death |
| 75 Arrhythmia- SVTs, including PSVT, atrial fibrillation, atrial flutter |
| 76 Arrhythmia- sick sinus syndrome, Mobitz II or complete heart block, junctional rhythm |
| 77 Implanted permanent pacemaker |
| 78 Implanted defibrillator |
| 79 Hypertension requiring medication |
| 80 Syncope in the prior year |
MI = myocardial infarction; PTCA = percutaneous transluminal coronary angioplasty; CABG = coronary artery bypass grafting; SVT = supraventricular tachycardia; PSVT = paroxysmal supraventricular tachycardia