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Recent Journal Updates

DiabetologiaJun 5, 2026
MASLD, diabetes and PMOS across the female life stages

Clinical Context

We think this might be relevant to the clinical guidance for Schwartz Score (Long QT Syndrome).

CancerJun 5, 2026
Correction to “Clinical, genetic, and familial features of POT1 tumor predisposition syndrome”

Clinical Context

We think this might be relevant to the clinical guidance for Schwartz Score (Long QT Syndrome).

Intensive Care MedicineJun 2, 2026
Nutrition support in the ICU: current evidence and evolving standards

Clinical Context

We think this might be relevant to the clinical guidance for Schwartz Score (Long QT Syndrome).

Schwartz Score (LQTS)

Schwartz Score (LQTS): Diagnostic probability of congenital Long QT Syndrome (LQTS).

QTc Duration (Bazett)
Torsades de pointes (+2)
T wave alternans (+1)
Notched T wave in 3 leads (+1)
Low heart rate for age (+0.5)
Syncope (Not scored if TdP is Yes)
Congenital deafness (+0.5)
Family member with definite LQTS (+1)
Unexplained SCD in immediate family < 30y (+0.5)
Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Patients with an incidentally discovered prolonged QTc on a resting 12-lead ECG (>450 ms in men, >460 ms in women)
Patients presenting with unexplained syncope, especially if provoked by exercise, emotion, or auditory stimuli
Family members of patients with known Long QT Syndrome (LQTS) or unexplained sudden cardiac death

Do Not Use If

The QT prolongation is clearly acquired (e.g., secondary to hypokalemia, hypomagnesemia, or QT-prolonging drugs like haloperidol, amiodarone, or certain macrolides). The Schwartz score is designed to estimate the probability of CONGENITAL LQTS. Secondary causes must be ruled out first.

Last Comprehensive Review: 2026

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Pre-genetic test probability estimation for congenital Long QT Syndrome (LQTS) in symptomatic or asymptomatic individuals with prolonged QTc.
Supporting clinical diagnosis of LQTS in individuals with QTc borderline (440–499ms) where cause is uncertain.
Triaging which patients warrant genetic testing for KCNQ1 (LQT1), HERG/KCNH2 (LQT2), and SCN5A (LQT3).
Endorsed in HRS/EHRA/APHRS 2013 Expert Consensus and ACC/AHA/HRS 2017 arrhythmia guidelines.

Last Comprehensive Review: 2026

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