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Chest pain

Causes
Clinical features
Investigations
Therapy
Prognosis
Clinical features

Look for sweating b

Why?

Sweating makes a myocardial infarction more likely

Patient Target Disorder and
Reference Standard		 Diagnostic Test LR+
(95% CI) 		Post-test Probability LR-
(95% CI) 		Post-test Probability
anterior chest pain b (pre-test probability: 12%) myocardial infarction
(cardiac enzymes, ECG) 		sweating 4.6
(2.7 to 8.0) 		40% 0.77
(0.66 to 0.90) 		10%

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   S   Straus
CAT Writers   CJ   Wotton , CM   Ball , N   Shenker , RS   Phillips