Clinical Resources

Long QT Schwartz Score

Diagnostic Probability Score for Congenital Long QT Syndrome

Enter the QTc and check all applicable criteria. Score updates live. Excludes secondary causes of QT prolongation.

ECG Findings 0 pts
QTc (Bazett formula)
ms
Measured at rest, corrected by Bazett (QT/√RR)
— pts
Clinical History 0 pts
Syncope (mutually exclusive — select one)
Family History 0 pts
Family members not previously scored for the same mutation.
Schwartz Score
Maximum score: 9 points
0  / 9

QTc Scoring Reference

QTc (ms) Points
≥ 480 ms3 pts
460 – 479 ms2 pts
450 – 459 ms (male only)1 pt
< 450 ms0 pts

The 450–459 ms threshold applies to males only per the original scoring. This calculator does not automatically apply the sex-specific rule — select the appropriate QTc range manually if applicable.

Applies only to congenital LQTS. Exclude all secondary causes (medications, electrolyte disorders, CNS events). Torsades de pointes and syncope criteria are mutually exclusive — score only one.

Reference

Schwartz PJ et al. (2003) — Diagnostic Criteria for the Long QT Syndrome: An Update. Circulation. 108:1985–1989.