Table 1.
Finding | Points |
---|---|
History | |
Clinical history of syncope* | |
Without stress | 1 |
With stress | 2 |
Congenital deafness | 0.5 |
Family history of long QT syndrome† | 1 |
Unexplained sudden death in a 1st degree family member <age 30† | 0.5 |
ECG | |
Corrected QT interval (QTc by Bazett’ formula) | |
450 ms (in males) | 1 |
460–470 ms | 2 |
≥480 ms | 3 |
Torsade de pointes* | 2 |
T-wave alternans | 1 |
≥3 leads with notched T waves | 1 |
Bradycardia (<2nd centile for age) | 0.5 |
Adapted from Schwartz et al14 with permission from the American Heart Association, copyright 1993.
≤1 = low probability; 1< score <4 = intermediate probability; ≥4 = high probability.
Syncope and torsade de pointes are mutually exclusive.
Cannot count the same family member for both criteria.