Long QT syndrome Moss and Schwartz Score

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

EKG

• QTc

>480 msec 3

460–470 msec 2

450 msec (males) 1

• Torsades de pointes 2
• T-wave alternans 1
• Notched T wave in 3 leads 1
• Low heart rate for age 0.5

Clinical History

Syncope

• With stress 2
• Without stress 1
• Congenital deafness 0.5

Family History

• Family member with long QT syndrome 1
• Sudden death in a family member >30 years of age with no other identifiable cause 0.5

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Cumulative point score for risk of having congential long QT syndrome:

• 1 = low risk
• 2–3 = intermediate risk
• 4 = high risk