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Table 2 1993–2006 Long QT syndrome (LQTS) diagnostic criteria

From: Congenital long QT syndrome

   

POINTS

ELECTROCARDIOGRAPHIC FINDINGS #

 

A

QTc^

> 480 ms

3

  

460 – 470 ms

2

  

450 – 459 (male) ms

1

B

TORSADE DE POINTES *

2

C

T WAVE ALTERNANS

1

D

NOTCHED T WAVE IN 3 LEADS

1

E

LOW HEART RATE FOR AGE @

0.5

CLINICAL HISTORY

 

A

SYNCOPE *

WITH STRESS

2

  

WITHOUT STRESS

1

B

CONGENITAL DEAFNESS

0.5

FAMILY HISTORY $

 

A

FAMILY MEMBERS WITH DEFINITE LQTS

1

B

UNEXPLAINED SUDDEN CARDIAC DEATH BELOW AGE 30 AMONG IMMEDIATE FAMILY MEMBERS

0.5

  1. # In the absence of medications or disorders known to affect these electrocardiographic features
  2. ^ QTc calculated by Bazett's formula where QTc = QT/√RR
  3. * Mutually exclusive
  4. @ Resting heart rate below the 2nd percentile for age
  5. $ The same family member cannot be counted in A and B
  6. SCORE: ≤ 1 point = low probability of LQTS
  7. > 1 to 3 points = intermediate probability of LQTS
  8. ≥ 3.5 points = high probability of LQTS