EGSYS 评分（心源性晕厥）
用途适用： ED/clinic syncope when etiology is unclear and cardiac features are being weighed.
分层EGSYS ≥3 associated with cardiac syncope. Complements SF / Canadian / Boston syncope tools.
局限不适用： as the only admit/discharge rule. · 易错点： missing ECG abnormalities that score the heart-disease item. · Negative autonomic features subtract points — history matters.
出处Del Rosso A, et al. EGSYS (Heart / Europace literature)
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： ED/clinic syncope when etiology is unclear and cardiac features are being weighed.
需要填写的项目
- Palpitations preceding syncope · 选项
- Heart disease and/or abnormal ECG · 选项
- Syncope during effort · 选项
- Syncope while supine · 选项
- Autonomic prodromes (nausea/vomiting) · 选项
- Predisposing / precipitating factors present · 选项
计算方法与公式
Palpitations before (+4) + heart disease/abnormal ECG (+3) + effort syncope (+3) + supine syncope (+2) + autonomic prodromes (−1) + precipitating factors (−1).
Sum points; ≥3 favors cardiac etiology in derivation.
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| Palpitations preceding syncope | 否 (0) |
|---|---|
| Heart disease and/or abnormal ECG | 否 (0) |
| Syncope during effort | 否 (0) |
| Syncope while supine | 否 (0) |
| Autonomic prodromes (nausea/vomiting) | 否 (0) |
| Predisposing / precipitating factors present | 否 (0) |
→EGSYS0分
- Band：Less suggestive of cardiac syncope
- Cutoff：≥3 favors cardiac cause
| Palpitations preceding syncope | 是 (+4) |
|---|---|
| Heart disease and/or abnormal ECG | 是 (+3) |
| Syncope during effort | 是 (+3) |
| Syncope while supine | 是 (+2) |
| Autonomic prodromes (nausea/vomiting) | 是 (−1) |
| Predisposing / precipitating factors present | 是 (−1) |
→EGSYS10分
- Band：Suggests cardiac etiology (derivation cutoff ≥3)
- Cutoff：≥3 favors cardiac cause
结果判读与分层
EGSYS ≥3 associated with cardiac syncope. Complements SF / Canadian / Boston syncope tools.
指南要点（原创整理）
- Cutoff ≥3 cardiac.
- Can be negative total.
- 下一步： SF Syncope / Canadian Syncope Risk.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： as the only admit/discharge rule.
- 易错点： missing ECG abnormalities that score the heart-disease item.
- Negative autonomic features subtract points — history matters.
核对与出处 · 可验证治理
参考指南与出处
- Del Rosso A, et al. EGSYS (Heart / Europace literature) · 来源 ↗
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- EGSYS 评分（心源性晕厥）的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- EGSYS 评分（心源性晕厥）怎么代入计算？能举个例子吗？
- 代入: Palpitations preceding syncope 否 (0)、Heart disease and/or abnormal ECG 否 (0)、Syncope during effort 否 (0)、Syncope while supine 否 (0)、Autonomic prodromes (nausea/vomiting) 否 (0)、Predisposing / precipitating factors present 否 (0) → 结果: EGSYS 0 分（Band: Less suggestive of cardiac syncope、Cutoff: ≥3 favors cardiac cause） 代入: Palpitations preceding syncope 是 (+4)、Heart disease and/or abnormal ECG 是 (+3)、Syncope during effort 是 (+3)、Syncope while supine 是 (+2)、Autonomic prodromes (nausea/vomiting) 是 (−1)、Predisposing / precipitating factors present 是 (−1) → 结果: EGSYS 10 分（Band: Suggests cardiac etiology (derivation cutoff ≥3)、Cutoff: ≥3 favors cardiac cause）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →