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
