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Rouan Decision Rule for Myocardial Infarction
Mar 19, 2012
•
Mark Morgan
categories:
Cardiovascular
Rouan Decision Rule for Myocardial Infarction[
Rule to determine the prevalence and characteristics of acute myocardial infarction (AMI) patients who present to emergency departments with normal or nonspecific electrocardiograms (ECGs).
no
YES
<-- Age greater than 60 years
no
YES
<-- Diaphoresis
no
YES
<-- History of MI or angina
no
YES
<-- Male sex
no
YES
<-- Pain described as pressure
no
YES
<-- Pain radiating to arm, shoulder, neck, or jaw
Score -->
Score
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)
out of 6
Interpretation -->
Risk of MI
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>3?'Up to 26.0%':score>2?'Up to 12.0%':score>1?'Up to 4.8%':score>0?'Up to 3.4%':'Up to 0.6%'
risk of myocardial infarction.
display/hide references
reference:
#1
Rouan (1989) Am J Cardiol. 64: 1087-92.
#2
Cayley (2005) Am Fam Physician. 72: 2012-21.
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