Probst et al reported the FAINT score to evaluate a patient with syncope presenting to the Emergency Department. This can help to identify a patient at low risk for significant underlying cardiac disease.The authors are from multiple institutions from around the United States.
FAINT is an acronym based on letters from the 5 parameters.
Patient selection: older adult (>= 60 years) with syncope or near syncope.
Parameters:
(1) history of heart failure (F)
(2) history of cardiac arrhythmias (A)
(3) initial ECG abnormal (I)
(4) elevated NT-proBNP (N)
(5) elevated hs-troponin T (T)
Parameter
Finding
Points
heart failure history
no
0
yes
1
arrhythmia history
no
0
yes
1
initial ECG
normal
0
abnormal
1
NT-proBNP
normal
0
elevated
2
hs-troponin
normal
0
elevated
1
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6
• A score of 0 is associated with a low risk for death or serious cardiac outcome at 30 days.
Performance:
• The area under the ROC curve is 0.704.
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