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Myocardial infarction

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Clinical features

Ask about the pain: specifically its position b

Why?

Chest or left arm pain makes a myocardial infarction more likely

Patient Target Disorder and
Reference Standard		 Diagnostic Test LR+
(95% CI) 		Post-test Probability
attending emergency department with chest pain b
(pre-test probability: 20%) 		myocardial infarction
(ECG and cardiac enzyme changes) 		pain in chest or left arm 2.7
40%
 

 

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

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