title: [A modified Calgary syncope syndrome score in the differential diagnosis between cardiac syncope and vasovagal syncope].
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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Pediatrics, Peking University First Hospital, Beijing 100034, China.
authors.forename: Hong-fang
authors.initials: HF
authors.lastname: Jin
authors.forename: Jin-yan
authors.initials: JY
authors.lastname: Yang
authors.forename: Xue-ying
authors.initials: XY
authors.lastname: Li
authors.forename: Lu-lu
authors.initials: LL
authors.lastname: Zhu
authors.forename: Ling
authors.initials: L
authors.lastname: Han
authors.forename: Feng-wen
authors.initials: FW
authors.lastname: Zhang
authors.forename: Li
authors.initials: L
authors.lastname: Chen
authors.forename: Jun-bao
authors.initials: JB
authors.lastname: Du
authors.forename: Qing-you
authors.initials: QY
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006331:Heart Diseases / Q000150:complications; D006801:Humans; D008297:Male; D012680:Sensitivity and Specificity; D013575:Syncope / Q000175:diagnosis* / Q000209:etiology; D019462:Syncope, Vasovagal / Q000175:diagnosis*; D018667:Tilt-Table Test