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A. Basics
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07. Syncope and Bradycardia
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EGSYS Score – a useful practice tool for the prediction of reflex syncope?
Session:
Posters (Sessão 2 - Écran 7) - Enfermagem e Técnicos
Speaker:
Helena Fonseca
Congress:
CPC 2022
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
07.2 Syncope and Bradycardia - Epidemiology, Prognosis, Outcome
Session Type:
Pósters Electrónicos
FP Number:
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Authors:
Helena da Fonseca; Catarina de Oliveira; Rita Contins; Sérgio Laranjo; Ana Lousinha; Pedro Silva e Cunha; Mário Oliveira
Abstract
<p>Syncope is a frequent clinical event in the general population. Although fear of consequences of cardiac syncope (CS) is real in clinical practice, syncope of non-cardiac etiology (NCS) is much more common and may be lead to injuries and quality-of-life impairment. The EGSYS (Evaluation of Guidelines in SYncope Study) score uses simple variables to predict which patients may have CS or NCS. The EGSYS score is a value asserted, not only in the diagnosis of syncope etiology, but also in the risk stratification of patients. <strong>Aim:</strong> determine whether the ECGSYS score has accuracy and clinical applicability for identifying patients with reflex syncope (RS). <strong>Methods: </strong>retrospective study of all patients undergoing head-up tilt testing (HUT) in our department during the last 12 months due to recurrent syncope. The EGSYS score was calculated, and its sensitivity and specificity determined for the prediction of RS in patients with a score < 3 and ≥ 3. <strong>Results</strong>: We performed 184 HUTs. The patients’ age was 57.0±15.0 years, with 115 (62.5%) females. The HUT was positive in 84 (45.7%) cases, confirming RS. The EGSYS score was ≥3 in 48 (26.1%) patients (average score 3.63) and <3 in 125 (67.9%) patients (average score 0). CS was confirmed in only 15 (8.2%) patients. An ECGSYS score <3.0 had a sensitivity of 41% (95% CI), a specificity of 53% (95% CI), and positive and negative predictive values of 25% (95% CI) and 70% (95% CI), respectively, for the prediction of RS. <strong>Conclusion: </strong>The EGSYS score is a simple diagnostic tool derived from clinical history findings. In NCS it has a limited usefulness, nonetheless its specificity and negative predictive values may be useful in selecting patients to undergo HUT.</p>
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