MDCalc

EGSYS (Evaluation of Guidelines in SYncope Study) Score for Syncope

Predicts likelihood that syncope is from cardiac cause.

Note: We recommend the San Francisco Syncope Rule over other syncope risk stratification scores, as it is the most widely validated.

Abnormal EKG and/or heart disease
Abnl EKG includes common findings like sinus bradycardia, BBB, LVH as well as others; Heart disease includes ischemic/valvular/structural disease, heart failure
Palpitations before syncope
Syncope during effort
Syncope in supine position
Autonomic prodromes
Nausea/vomiting
Predisposing and/or precipitating factors
Warm or crowded place, prolonged orthostasis, fear/pain/other emotion

Result:

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Advice

The EGSYS authors suggest the score be used as an aid for emergency physicians for screening, not as a substitute for clinical judgment in syncope management.

Critical Actions

Patients with suspected cardiogenic syncope should be referred to a cardiologist.