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    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
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    Patent Pending

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

    Predicts likelihood that syncope is from cardiac cause.

    INSTRUCTIONS

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

    When to Use
    Pearls/Pitfalls
    Why Use

    Patients presenting to the emergency department with syncope.

    • May have limited generalizability—in the study, a cardiologist specializing in syncope was available to review the EKG in the emergency setting.
    • Includes specific criteria for EKG abnormalities.
    • Less sensitive (95%) than the San Francisco Syncope Rule (96–98%).

    Cardiac syncope carries high mortality if untreated. A score that identifies these patients can help prevent adverse outcomes from underlying cardiac pathology.

    No
    0
    Yes
    +3
    No
    0
    Yes
    +4
    No
    0
    Yes
    +3
    No
    0
    Yes
    +2
    No
    0
    Yes
    -1
    No
    0
    Yes
    -1

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Attilio Del Rosso

    About the Creator

    Attilio Del Rosso, MD, is in the department of cardiology at S. Giuseppe Hospital in Empoli, Italy.

    To view Dr. Attilio Del Rosso's publications, visit PubMed

    Are you Dr. Attilio Del Rosso? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Attilio Del Rosso
    Are you Dr. Attilio Del Rosso?