Chest Pain / ACS Evaluation Algorithm
Algorithm that ...
285
Description

Chest Pain / ACS Evaluation Algorithm

Algorithm that attempts to the use history taking (guided by LRs), the Diamond-Forrester classification, and the HEART score to guide an approach to identifying ACS.

Ask about:

 - Changes in baseline physical activity

 - Nausea/vomiting (+LR 0.92-1.1)

 - Diaphoresis (+LR 1.3-1.4)

 - Radiation to neck or jaw (+LR 1.5)

 - Radiation to both arms (+LR 2.6)

 - Cardiac risk factors

Calculate a HEART score:

 - History

 - EKG findings

 - Age

 - Risk factors

 - Initial troponin



Dr. Satya Patel @SatyaPatelMD



#ChestPain #ACS #Evaluation #diagnosis #Algorithm #cardiology #Angina
Contributed by

Dr. Satya Patel
@SatyaPatelMD
https://twitter.com/SatyaPatelMD | Hospitalist  @LosAngelesVA | Anesthesiology Intern APD @UCLAHealth | Interested in medical education, curriculum design, and QI | https://bit.ly/pocketcardset
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