Template:Clinical features ACS: Difference between revisions
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===Risk of [[ACS]]=== | ===Risk of [[ACS]]=== | ||
Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref> <ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref> | Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref> | ||
*[[Chest pain]] radiating both arms >R arm >L arm | *[[Chest pain]] radiating both arms >R arm >L arm | ||
*[[Chest pain]] associated with diaphoresis | *[[Chest pain]] associated with diaphoresis | ||
*[[Chest pain]] associated with [[nausea/vomiting]] | *[[Chest pain]] associated with [[nausea/vomiting]] | ||
*[[Chest pain]] with exertion | *[[Chest pain]] with exertion | ||
Clinical factors that '''decrease''' likelihood of ACS/AMI: <ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref> | Clinical factors that '''decrease''' likelihood of ACS/AMI:<ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref> | ||
*Pleuritic chest pain | *Pleuritic chest pain | ||
*Positional chest pain | *Positional chest pain | ||
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*Chest pain reproducible with palpation | *Chest pain reproducible with palpation | ||
Male and female patients typical present with similar symptoms | Male and female patients typical present with similar symptoms<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref> | ||
Revision as of 14:05, 4 December 2016
Risk of ACS
Clinical factors that increase likelihood of ACS/AMI:[1][2]
- Chest pain radiating both arms >R arm >L arm
- Chest pain associated with diaphoresis
- Chest pain associated with nausea/vomiting
- Chest pain with exertion
Clinical factors that decrease likelihood of ACS/AMI:[3]
- Pleuritic chest pain
- Positional chest pain
- Sharp, stabbing chest pain
- Chest pain reproducible with palpation
Male and female patients typical present with similar symptoms[4]
- ↑ Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454
- ↑ Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377
- ↑ Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077
- ↑ Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.