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 | |||||