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A modified Calgary syncope syndrome score in the differential diagnosis between cardiac syncope and vasovagal syncope / 中华儿科杂志
Chinese Journal of Pediatrics ; (12): 117-120, 2012.
Article in Chinese | WPRIM | ID: wpr-356326
ABSTRACT
<p><b>OBJECTIVE</b>This study aimed at analyzing the usefulness of a modified Calgary Syncope Syndrome Score in the differential diagnosis between cardiac syncope (CS) and vasovagal syncope (VVS) in children through a large sample clinical study.</p><p><b>METHOD</b>Totally 189 children [112 males, 77 females, aged 2 - 18 yrs, mean age (12.4 ± 3.1) yrs] with CS and VVS who were at the syncope clinic or admitted to the Department of Pediatrics, Peking University First Hospital from August 2002 to April 2011 were included in the study. The diagnosis was analyzed by a modified Calgary Syncope Syndrome Score and receiver operating characteristic (ROC) curve was used to explore the predictive value of different Calgary Syncope Syndrome Scores in differential diagnosis between CS and VVS.</p><p><b>RESULT</b>There were significant differences in the score between CS [-5.00(-7, 1)] and VVS [1(-4, 6)] (P < 0.01). When the score was ≤ -2.5, the sensitivity and specificity of the differential diagnosis between CS and VVS were 95.4% and 67.7%, respectively. Since the modified Calgary Syncope Syndrome Score was integer number, CS should be considered when the score was less than -3.</p><p><b>CONCLUSION</b>The modified Calgary Syncope Syndrome Score might be used as an initial diagnostic method in differential diagnosis between CS and VVS, based on the history of the patients.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Syncope / Sensitivity and Specificity / Tilt-Table Test / Syncope, Vasovagal / Diagnosis / Diagnosis, Differential / Heart Diseases Type of study: Diagnostic study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Pediatrics Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Syncope / Sensitivity and Specificity / Tilt-Table Test / Syncope, Vasovagal / Diagnosis / Diagnosis, Differential / Heart Diseases Type of study: Diagnostic study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Pediatrics Year: 2012 Type: Article