Cardiovascular Medicine Book

Vitals

Dermatology

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Emergency Department Assessment of Chest Pain Score

Aka: Emergency Department Assessment of Chest Pain Score, EDACS
  1. See Also
    1. HEART Score
    2. Troponin-Only Manchester Acute Coronary Syndrome Decision Aid (T-Macs)
  2. Indications
    1. Low Risk Chest Pain Risk Stratification
  3. Criteria
    1. Age
      1. Score 2: Age 18 to 45 years
      2. Score 4: Age 46 to 50 years
      3. Score 6: Age 51 to 55 years
      4. Score 8: Age 56 to 60 years
      5. Score 10: Age 61 to 65 years
      6. Score 12: Age 66 to 70 years
      7. Score 14: Age 71 to 75 years
      8. Score 16: Age 76 to 80 years
      9. Score 18: Age 81 to 85 years
      10. Score 20: Age >86 years
    2. Gender
      1. Score 0: Female
      2. Score 6: Male
    3. Known Coronary Artery Disease or 3 Cardiac Risk Factors
      1. Score 0: No
      2. Score 4: Yes
    4. Diaphoresis
      1. Score 0: No
      2. Score 3:Yes
    5. Pain radiates to arm, Shoulder, neck or jaw
      1. Score 0: No
      2. Score 5: Yes
    6. Pain occurs or worsens with inspiration
      1. Score 0: No
      2. Score -4: Yes
    7. Pain reproduced with chest palpation
      1. Score 0: No
      2. Score -6:Yes
  4. Interpretation: Low Risk Findings
    1. EDACS <16: Low Risk for cardiac Chest Pain AND
    2. Non-ischemic EKG AND
    3. Two serial Troponins negative (0 and 2 hours)
  5. Efficacy
    1. Test Sensitivity 98-99%
  6. References
    1. Than (2014) Emerg Med Australas 26(1): 34-4 [PubMed]

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