chest-painEN
š Likelihood Ratios: ACS/MI
ā¬ļø Increases suspicion:
ā¢ Right arm/shoulder radiation: 4.7
ā¢ Both arms radiation: 4.1
ā¢ Exertional pain: 2.4
ā¢ Diaphoresis: 2.0
ā¢ Pressure quality: 1.3
ā¬ļø Decreases but does NOT exclude:
ā¢ Pleuritic: 0.2
ā¢ Positional/Sharp/Reproducible: 0.3
Probability modifiers, NOT diagnosis closers.