Canadian Syncope Risk Score

Canadian Syncope Risk Score: vasovagal predisposition (-1), heart-disease history (1), extreme SBP (2), elevated troponin (2), abnormal QRS axis (1), QRS > 130 ms (1), QTc > 480 ms (2), ED vasovagal diagnosis (-2),…

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Heart-disease history
Yes
Troponin > 99th percentile
Yes

Result: Score 3: medium risk.

The tool opens with these values already filled in. Replace them with your own.

What the result means

-3 to 0
Very-low to low risk of a serious 30-day adverse event.
1 to 3
Medium risk of a serious 30-day adverse event.
4 to 11
High to very-high risk of a serious 30-day adverse event.

What you enter

  • Vasovagal predisposition (-1)
  • Heart-disease history (+1)
  • Any SBP < 90 or > 180 (+2)
  • Troponin > 99th percentile (+2)
  • Abnormal QRS axis (+1)
  • QRS > 130 ms (+1)
  • QTc > 480 ms (+2)
  • ED diagnosis of vasovagal syncope (-2)
  • ED diagnosis of cardiac syncope (+2)
How this is calculated

Thiruganasambandamoorthy V, et al. CMAJ. 2016;188(12):E289-E298 (Canadian Syncope Risk Score). Score -3 to +11 with 30-day serious-outcome bands. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.