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