Browse Guides  internal medicine  cardiology

Chest pain

Causes
Clinical features
Investigations
Therapy
Prognosis
Clinical features

Ask about any associated 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)
history of sweating 2.5
(2.0 to 3.3)
26% 0.52
(0.38 to 0.71)
7%

Note:

  • Classic cardiac risk factors (smoking, hypertension, diabetes, etc) are not clearly helpful at diagnosing a myocardial infarction. b

 

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