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. 2023 Jan 28;20(1):11–22. doi: 10.26599/1671-5411.2023.01.008

Table 7. Comparison of variables between existing syncope rules.

Variables SFSR (points) EGSYS (points) CSRS (points) ROSE (points) WF 48 hrs. (Z-score) WF 30 days (Z-score)
*Abnormal EKG = bradycardia (< 50 beat/minute), ST changes (> 1 mm elevation or depression), QT prolongation (QTC > 480 ms), ventricular tachycardia, atrioventricular block (second or third degree), sick sinus syndrome, ventricular and rapid paroxysmal supraventricular arrhythmias, sinus pauses, and pace malfunction. **Heart disease history = CAD, Heart failure with preserved or reduced ejection fraction, valvular pathology, congenital heart disease, pericardial pathology or any history of arrhythmia. ││Vasovagal predisposition = syncope predisposed by prolonged standing, emotion, pain, fear or being in a crowd.
Hematocrit < 30% or Hb < 9 1 Point 1 point
Systolic pressure < 90 at triage 1 Point 2 Points 2.52
Shortness of breath 1 Point
EKG: non-sinus rhythm/EKG change 1 Point 3 Points 3.32 2.30
Congestive heart failure 1 Point 3 Points 1 Point 3.22
EKG: abnormal* 3 Points 2.30
Supine syncope 2 Points
Autonomic prodrome -1 Point
Palpitations 4 Point
Effort syncope 3 Point
Heart disease history** 3 Point 1 Point 3.07
Vasovagal predisposition││ -1 Point -1 Point -2.59
Elevated troponin 2 Point
QRS duration > 130 ms 1 Point
Corrected QT > 480 ms 2 Point
ED diagnosis (cardiac vs. vasovagal) 2/-2 Points 2.64
Brain natriuretic peptide > 300 pg/mL 1 Point 5.48
Saturation < 94% on room air 1 Point
Bradycardia < 50 1 Point
Fecal occult blood 1 Point
Chest pain 1 Point 2.39
Q waves 1 Point
Antiarrhythmic medication 2.57
EKG: atrial fibrillation/flutter 3.32
Antidepressants -2.18
Echo: Moderate/Severe pulmonary hypertension 3.36