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Chest Pain Evaluation
Mar 5, 2011
•
Mark Morgan
categories:
Cardiovascular
Chest pain evaluation
This calculator is intended to help guide evaluation for chest pain in regards to the likelihood of non-cardiac causes.
no
YES
<-- Male 55 years or over/Female 65 or over
no
YES
<-- Known CAD or cerebrovascular disease
no
YES
<-- Pain not reproducible by palpation
no
YES
<-- Pain worse during exercise
no
YES
<-- Patient assumes pain is cardiogenic
Score -->
score
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)
out of 5. Interpretation -->
interpretation
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score>3?'High (62.7%) risk, proceed with ACS evaluation.':score>1?'Moderate (12.1%) risk, obtain ECG and proceed with ACS or other evaluations as indicated.':'Low (0.6%) risk, if no other indication of cardiac cause, evaluate for non-cardiac causes.'
display/hide references
reference: AAFP Point-of-Care Guide at
Ebell (2011) Am Fam Physician 83: 603-5
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