TABLE 3.
Schwartz criteria to calculate long QT syndrome risk
ECG finding | Score, points |
---|---|
QTc duration* (Bazett formula) | |
≥480 ms | 3 |
460–479 ms | 2 |
450–459 ms (men only) | 1 |
Torsades de pointes | 2 |
T-wave alternans | 1 |
Notched T wave in 3 leads | 1 |
HR <2nd percentile for age | 0.5 |
Clinical history | |
Syncope† | |
With stress/exertion | 2 |
Without stress | 1 |
Congenital deafness | 0.5 |
Family history‡ | |
Family member with definite LQTS | 1 |
Unexplained sudden cardiac death < age 30 | 0.5 |
Scoring: ≤1, low probability of LQTS; 2–3, intermediate probability of LQTS; ≥4, high probability of LQTS.
ECG, electrocardiogram; HR, heart rate; LQTS, long QT syndrome.
In absence of drugs or conditions that affect QTc.
Mutually exclusive.
Cannot be same family member to count both family history categories.