Exam

Canadian Syncope Risk Score

search

Canadian Syncope Risk Score

  • Criteria
  • Clinical
  1. Score -1: Vasovagal symptom predisposition
  2. Score 1: Heart disease history
  3. Score 2: Any systolic Blood Pressure reading <90 mmHg or >180 mmHg
  • Criteria
  • Evaluation
  1. Score 2: Troponin elevated
  2. Score 1: QRS Axis abnormal (<30 or >100 degrees)
  3. Score 1: QRS Duration >130 ms
  4. Score 2: QTc >480 ms
  • Criteria
  • ED Diagnosis
  1. Score -2: Vasovagal Syncope
  2. Score 2: Cardiac Syncope
  • Interpretation (based on the sum of all 9 criteria)
  1. Score -3 to 0: Very low risk (serious adverse events <=1.9% in 30 days)
  2. Score 1 to 3: Medium risk (serious adverse events >=3% in 30 days)
  3. Score 4 to 5: High risk
  4. Score >=6: Very high risk
  • Resources