Table 1. Schwartz score.
ECG findings (in the absence of medications or disorders known to affect these features): |
---|
• QTc (= QT/√RR, interpret with caution with tachycardia since QTc overcorrects at fast heart rates) |
- ≥480 milliseconds: 3 points |
- 460 to 479 milliseconds: 2 points |
- 450 to 459 milliseconds (in males): 1 point |
• QTc at fourth minute of recovery from exercise stress test ≥480 milliseconds: 1 point (27) |
• Torsades de pointes* (in the absence of drugs known to prolong QT): 2 points |
• T wave alternans: 1 point |
• Notched T wave in three leads: 1 point |
• Resting heart rate below second percentile for age (restricted to children): 0.5 point |
• Clinical findings: |
• Syncope* (*points for documented torsades and syncope are mutually exclusive) |
- With stress: 2 points |
- Without stress: 1 point |
• Family history (the same family member cannot be counted in both of these criteria): |
• Family members with LQTS: 1 point |
• Unexplained SCD in immediate family members <30 years of age: 0.5 point |
SCD = sudden cardiac death; low probability ≤1 point; intermediate probability 1.5 to 3 points; high probability ≥3.5 points