Cardiovascular Medicine Book

Coronary Artery Disease

Congestive Heart Failure

Electrocardiogram

Valvular Disease

Hypertension

Hypotension

Pediatrics

Symptoms

Circulatory Disorders

Infectious Disease

Pericardial Disorders

Vitals

Dermatology

Physiology

Pharmacology Chapter related topics

//fpnotebook.com/

Vancouver Chest Pain Rule

Aka: Vancouver Chest Pain Rule
  1. See Also
    1. Chest Pain
    2. Acute Chest Pain Approach
    3. Angina Diagnosis
    4. Cardiac Risk Assessment
    5. Cardiac Risk Management
    6. TIMI Risk Score
    7. Bosner Chest Pain Decision Rule
    8. Cardiac Risk in Diabetes Score
    9. Chest Wall Pain Prediction Rule
    10. Diamond and Forrester Chest Pain Prediction Rule
    11. Framingham Score
    12. HEART Score
    13. GRACE Score
  2. Indications
    1. Low Risk Chest Pain evaluation
  3. Criteria
    1. Completely Normal EKG
      1. No T Wave Inversion
      2. No Left Ventricular Hypertrophy
    2. Troponin negative at 2 hours after emergency department arrival
    3. No Acute Coronary Syndrome history
    4. No Nitrate use
    5. Chest Pain with reassuring history and exam
      1. Reproducible Chest Pain on palpation OR
      2. Non-reproducible Chest Pain, but a patient under age 50 years with a non-concerning history
  4. Interpretation
    1. All criteria present
      1. Low risk for acute coronary events
      2. Consider early disposition home from emergency department with close interval follow-up
    2. Any failing criteria
      1. Cannot exclude ACS
      2. Employ other tools to evaluate further for ACS
  5. Efficacy
    1. Test Sensitivity: 99.1%
    2. Test Specificity: 16%
  6. References
    1. Cullen (2014) Am J Emerg Med 32(2): 129-34 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree