Table 1: Schwartz score LQTS diagnostic criteria and their values in athletes.
Schwartz Score | Points | Questionable in Athletes | |
---|---|---|---|
Electrocardiographic findings | |||
A | QTc duration (ms) (Bazett formula) | ||
≥480 | 3 | ||
460–470 | 2 | x | |
450 (in males) | 1 | x | |
B | Torsades de pointes* | 2 | |
C | T-wave alternans | 1 | |
D | Notched T wave in three leads | 1 | |
E | Low heart rate for age | 0.5 | x |
Clinical history | |||
A | Syncope* | ||
With stress | 2 | ||
Without stress | 1 | ||
B | Congenital deafness | 0.5 | |
Family history | |||
A | Family members with definite LQTS | 1 | |
B | Unexplained sudden cardiac death below the age of 30 among immediate family members | 0.5 |
* Mutually exclusive. Source: Schwartz PJ, et al.[22] With permission from Wolters Kluver.