Goldman Criteria for ICU Chest Pain Admission
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EKG Findings:
1. Myocardial infarction suspected on EKG. Criteria not met if changes were present on prior EKG
... ST Elevation 1 mm or more or pathologic Q waves in 2 or more leads. --->
2. Ischemia suspected on EKG. Criteria not met if changes were present on prior EKG
... ST depression of 1 mm or more or T-wave inversion in 2 or more leads. --->
Risk Factors (1 point for each positive risk factor)
A. Low Systolic Blood Pressure Hypotensive reading at any point during the emergency department stay
... Systolic Blood Pressure <100 mmHg --->
B. Congestive Heart Failure signs.
... Rales heard above the bases bilaterally. --->
C. Chest Pain worse than baseline Angina This risk factor is positive if 1 or more is present
... Known unstable Ischemic Heart Disease --->
... New post-infarction Angina --->
... Angina after a coronary revascularization procedure --->
... Pain similar to prior Myocardial Infarction --->
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Interpretation (with risk of major cardiac event in subsequent 30 days):

Result - Copy and paste this output: