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    Patent Pending

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

    Predicts likelihood that syncope is from cardiac cause.
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    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

    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.

    About the Creator
    Dr. Attilio Del Rosso
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