Cardiovascular Medicine Book




INTERCHEST Chest Pain Rule

Aka: INTERCHEST Chest Pain Rule
  1. Criteria
    1. Score -1: Pain reproduced on chest wall palpation
    2. Score +1: Men aged >=55 years or women aged >=65 years
    3. Score +1: Physician initially suspected a serious condition
    4. Score +1: Chest discomfort feels like chest pressure
    5. Score +1: Chest Pain related to effort
    6. Score +1: History of Coronary Artery Disease (CAD)
  2. Interpretation
    1. Low Risk: -1 to 0 total score (CAD risk 0.3%)
    2. Moderate Risk: 1 to 2 total score (CAD risk 6.9%)
    3. High Risk: >=3 total score (CAD risk 64.4)
  3. References
    1. Aerts (2017) J Clin Epidemiol 81: 120-8 [PubMed]
    2. Sox (2019) Am Fam Physician 99(9): 584-6 [PubMed]

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