Canadian Syncope Risk Score
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Indications
- identification of patients with syncope who can be safely discharged after 2-6 hours of emergency department monitoring[1]
Procedure
- predisposition to vasovagal syncope
- heart disease
- systolic BP in the emergency department < 90 or > 180 mm Hg
- serum troponin level > 99th percentile
- abnormal QRS axis (< -30 or > 100 degrees)
- QRS duration > 130 ms
- QTc interval > 480 ms
- emergency department diagnosis of cardiac syncope
- emergency department diagnosis of vasovagal syncope
Notes
Additional terms
References
- ↑ 1.0 1.1 Thiruganasambandamoorthy V, Kwong K, Wells GA et al Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope. CMAJ. 2016 Sep 6;188(12):E289-98. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27378464 Free PMC Article
- ↑ Thiruganasambandamoorthy V et al. Duration of electrocardiographic monitoring of emergency department patients with syncope. Circulation 2019 Jan 21; PMID: https://www.ncbi.nlm.nih.gov/pubmed/30661373 https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.118.036088
- ↑ Thiruganasambandamoorthy V et al. Multicenter emergency department validation of the Canadian Syncope Risk Score. JAMA Intern Med 2020 Mar 23; PMID: https://www.ncbi.nlm.nih.gov/pubmed/32202605 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2763181
- ↑ 4.0 4.1 4.2 Zimmerman T et al. International validation of the Canadian Syncope Risk Score: A cohort study. Ann Intern Med 2022 Apr 26; [e-pub]. PMID: https://www.ncbi.nlm.nih.gov/pubmed/35467933 https://www.acpjournals.org/doi/10.7326/M21-2313