💓 EGSYS Score (Cardiac Syncope)
UseWhen to use: ED/clinic syncope when etiology is unclear and cardiac features are being weighed.
StrataEGSYS ≥3 associated with cardiac syncope. Complements SF / Canadian / Boston syncope tools.
LimitsWhen not to use: as the only admit/discharge rule. · Pitfall: missing ECG abnormalities that score the heart-disease item. · Negative autonomic features subtract points — history matters.
SourceDel Rosso A, et al. EGSYS (Heart / Europace literature)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Cutoff ≥3 cardiac.
When to use
When to use: ED/clinic syncope when etiology is unclear and cardiac features are being weighed.
How it works
Palpitations before (+4) + heart disease/abnormal ECG (+3) + effort syncope (+3) + supine syncope (+2) + autonomic prodromes (−1) + precipitating factors (−1).
Key points
- Cutoff ≥3 cardiac.
- Can be negative total.
- Next: SF Syncope / Canadian Syncope Risk.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Palpitations preceding syncope | No (0) |
|---|---|
| Heart disease and/or abnormal ECG | No (0) |
| Syncope during effort | No (0) |
| Syncope while supine | No (0) |
| Autonomic prodromes (nausea/vomiting) | No (0) |
| Predisposing / precipitating factors present | No (0) |
→EGSYS0pts
- Band：Less suggestive of cardiac syncope
- Cutoff：≥3 favors cardiac cause
| Palpitations preceding syncope | Yes (+4) |
|---|---|
| Heart disease and/or abnormal ECG | Yes (+3) |
| Syncope during effort | Yes (+3) |
| Syncope while supine | Yes (+2) |
| Autonomic prodromes (nausea/vomiting) | Yes (−1) |
| Predisposing / precipitating factors present | Yes (−1) |
→EGSYS10pts
- Band：Suggests cardiac etiology (derivation cutoff ≥3)
- Cutoff：≥3 favors cardiac cause
Verification & sources · governance
FAQ
Frequently asked questions
- Does EGSYS Score (Cardiac Syncope) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is EGSYS Score (Cardiac Syncope) calculated in practice? Can you show a worked example?
- Inputs: Palpitations preceding syncope No (0), Heart disease and/or abnormal ECG No (0), Syncope during effort No (0), Syncope while supine No (0), Autonomic prodromes (nausea/vomiting) No (0), Predisposing / precipitating factors present No (0) → Result: EGSYS 0 pts（Band: Less suggestive of cardiac syncope, Cutoff: ≥3 favors cardiac cause） Inputs: Palpitations preceding syncope Yes (+4), Heart disease and/or abnormal ECG Yes (+3), Syncope during effort Yes (+3), Syncope while supine Yes (+2), Autonomic prodromes (nausea/vomiting) Yes (−1), Predisposing / precipitating factors present Yes (−1) → Result: EGSYS 10 pts（Band: Suggests cardiac etiology (derivation cutoff ≥3), Cutoff: ≥3 favors cardiac cause）