II. Indications
- Low Risk Chest Pain Risk Stratification
III. Criteria
- Age
- Score 2: Age 18 to 45 years
- Score 4: Age 46 to 50 years
- Score 6: Age 51 to 55 years
- Score 8: Age 56 to 60 years
- Score 10: Age 61 to 65 years
- Score 12: Age 66 to 70 years
- Score 14: Age 71 to 75 years
- Score 16: Age 76 to 80 years
- Score 18: Age 81 to 85 years
- Score 20: Age >86 years
- Gender
- Score 0: Female
- Score 6: Male
- Known Coronary Artery Disease or 3 Cardiac Risk Factors
- Score 0: No
- Score 4: Yes
- Diaphoresis
- Score 0: No
- Score 3:Yes
- Pain radiates to arm, Shoulder, neck or jaw
- Score 0: No
- Score 5: Yes
- Pain occurs or worsens with inspiration
- Score 0: No
- Score -4: Yes
- Pain reproduced with chest palpation
- Score 0: No
- Score -6:Yes
IV. Interpretation: Low Risk Findings
- EDACS <16: Low Risk for cardiac Chest Pain AND
- Non-ischemic EKG AND
- Two serial Troponins negative (0 and 2 hours)
V. Efficacy
- Test Sensitivity 98-99%