Canadian Syncope Risk Score — JoyShine Medical

Canadian Syncope Risk Score (CSRS)

Nine-item additive score that stratifies adults presenting within 24 hours of syncope for the 30-day risk of a serious adverse event (death, arrhythmia, MI, structural heart disease, pulmonary embolism, or serious hemorrhage), to aid emergency-department disposition.

Predisposition to vasovagal symptoms (warm crowded place, prolonged standing, fear, emotion, or pain) — −1

No Yes

History of heart disease (coronary or valvular disease, cardiomyopathy, CHF, or non-sinus rhythm) — +1

No Yes

Any ED systolic BP < 90 or > 180 mmHg (strict) — +2

No Yes

Elevated troponin (> 99th percentile of the assay reference) — +2

No Yes

Abnormal QRS axis (< −30° or > 100°, strict) — +1

No Yes

QRS duration > 130 ms (strict) — +1

No Yes

Corrected QT (QTc) > 480 ms (strict) — +2

No Yes

ED diagnosis: vasovagal syncope (treating clinician's working impression) — −2

No Yes

ED diagnosis: cardiac syncope (treating clinician's working impression) — +2

No Yes