NCEMI eTools

Myocardial infarction probability (Goldman)
Result:
Calculation requires an answer to the question:
"ST elevation or Q waves in 2 or more leads, not known to be old?"
 
ST elevation or Q waves in 2 or more leads, not known to be old?
Yes
No
 
Chest pain began more than 48 hours ago?
Yes
No
 
Prior history of angina or MI??
Yes
No
 
ST-T changes of ischemia OR strain, not known to be old?
Yes
No
 
REPEAT - ANSWER ANYWAY: ST-T changes of ischemia OR Strain, not known to be old?
Yes
No
 
Longest pain episode more than 1 hour?
Yes
No
 
Pain worse than prior angina or the same as a prior MI?
Yes
No
 
Pain radiates to neck or left shoulder or left arm?
Yes
No
 
REPEAT - ANSWER ANYWAY: ST-T changes of ischemia OR strain not known to be old?
yes
No
 
Age 40 years old or over?
Yes
No
 
Chest pain reproduced by palpation?
Yes
No
 
Pain radiates to back, abdomen or legs?
Yes
No
 
Chest pain is stabbing?
Yes
No
Calculate

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