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[A modified Calgary syncope syndrome score in the differential diagnosis between cardiac syncope and vasovagal syncope].
Zhonghua Er Ke Za Zhi. 2012 Feb; 50(2):117-20.ZE

Abstract

OBJECTIVE

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.

METHOD

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.

RESULT

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.

CONCLUSION

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.

Links

Publisher Full Text

Authors+Show Affiliations

Jin HF
Department of Pediatrics, Peking University First Hospital, Beijing 100034, China.
Yang JY
No affiliation info available
Li XY
No affiliation info available
Zhu LL
No affiliation info available
Han L
No affiliation info available
Zhang FW
No affiliation info available
Chen L
No affiliation info available
Du JB
No affiliation info available
Zhang QY
No affiliation info available

MeSH

AdolescentChildChild, PreschoolDiagnosis, DifferentialFemaleHeart DiseasesHumansMaleSensitivity and SpecificitySyncopeSyncope, VasovagalTilt-Table Test

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

22455635

Citation

Jin, Hong-fang, et al. "[A Modified Calgary Syncope Syndrome Score in the Differential Diagnosis Between Cardiac Syncope and Vasovagal Syncope]." Zhonghua Er Ke Za Zhi = Chinese Journal of Pediatrics, vol. 50, no. 2, 2012, pp. 117-20.
Jin HF, Yang JY, Li XY, et al. [A modified Calgary syncope syndrome score in the differential diagnosis between cardiac syncope and vasovagal syncope]. Zhonghua Er Ke Za Zhi. 2012;50(2):117-20.
Jin, H. F., Yang, J. Y., Li, X. Y., Zhu, L. L., Han, L., Zhang, F. W., Chen, L., Du, J. B., & Zhang, Q. Y. (2012). [A modified Calgary syncope syndrome score in the differential diagnosis between cardiac syncope and vasovagal syncope]. Zhonghua Er Ke Za Zhi = Chinese Journal of Pediatrics, 50(2), 117-20.
Jin HF, et al. [A Modified Calgary Syncope Syndrome Score in the Differential Diagnosis Between Cardiac Syncope and Vasovagal Syncope]. Zhonghua Er Ke Za Zhi. 2012;50(2):117-20. PubMed PMID: 22455635.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A modified Calgary syncope syndrome score in the differential diagnosis between cardiac syncope and vasovagal syncope]. AU - Jin,Hong-fang, AU - Yang,Jin-yan, AU - Li,Xue-ying, AU - Zhu,Lu-lu, AU - Han,Ling, AU - Zhang,Feng-wen, AU - Chen,Li, AU - Du,Jun-bao, AU - Zhang,Qing-you, PY - 2012/3/30/entrez PY - 2012/3/30/pubmed PY - 2013/3/5/medline SP - 117 EP - 20 JF - Zhonghua er ke za zhi = Chinese journal of pediatrics JO - Zhonghua Er Ke Za Zhi VL - 50 IS - 2 N2 - OBJECTIVE: 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. METHOD: 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. RESULT: 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. CONCLUSION: 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. SN - 0578-1310 UR - https://www.unboundmedicine.com/medline/citation/22455635/[A_modified_Calgary_syncope_syndrome_score_in_the_differential_diagnosis_between_cardiac_syncope_and_vasovagal_syncope]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&amp;issn=0578-1310&amp;year=2012&amp;vol=50&amp;issue=2&amp;fpage=117 DB - PRIME DP - Unbound Medicine ER -