Criteria for high cardiac risk in syncope
Severe structural or coronary artery disease |
Heart failure |
Previous myocardial infarction |
Left ventricular outflow tract obstruction |
Clinical or electrocardiographic signs of arrhythmic syncope |
Syncope during exertion or when supine |
Palpitations at time of syncope |
Family history of sudden cardiac death |
Nonsustained ventricular tachycardia |
Bifascicular block or intraventricular conduction |
abnormality with QRS complex > 120 seconds |
Inadequate sinus bradycardia or sinoatrial block |
Pre-excited QRS |
Prolonged or short QT interval |
Right bundle branch block with Brugada pattern (ST-segment elevation in V1 –V3) |
Negative T waves in precordial leads, epsilon wave, and ventricular late potentials suggestive of arrhyth mogenic right ventricular cardiomyopathy |