Table 5 Clinical recommendation
From: Gender differences in presentation and diagnosis of chest pain in primary care
Useful for in- or excluding any CHD in women | Likelihood Ratio if Finding | |
|---|---|---|
Present | Absent | |
Known clinical vascular disease | 5.52 (3.97; 7.67) | 0.55 (0.45; 0.68) |
Pain worse with exercise | 2.21 (1.61; 3.04) | 0.74 (0.63; 0.88) |
Age ≥ 65 years | 2.04 (1.77; 2.37) | 0.34 (0.22; 0.51) |
Stinging pain | 0.41 (0.25; 0.67) | 1.39 (1.24; 1.55) |
Diabetes mellitus | 2.35 (1.58; 3.50) | 0.81 (0.71; 0.93) |
Pain duration between 1-12 hours | 1.65 (1.09; 2.52) | 0.89 (0.79; 1.01) |
Useful for in- or excluding any CHD in men | Likelihood Ratio if Finding | |
Present | Absent | |
Known clinical vascular disease | 3.61 (2.70; 4.82) | 0.53 (0.42; 0.66) |
Pain worse with exercise | 2.89 (2.14; 3.91) | 0.63 (0.51; 0.76) |
Age ≥ 55 years | 1.64 (1.44; 1.86) | 0.32 (0.19; 0.52) |
Patient assumes cardiac origin of pain | 1.55 (1.36; 1.76) | 0.32 (0.19; 0.55) |
Pressing pain | 1.71 (1.40; 2.08) | 0.57 (0.43; 0.76) |
Pain depending on inspiration | 0.17 (0.07; 0.47) | 1.27 (1.18; 1.36) |
Localized muscle tension | 0.23 (0.11-0.47) | 1.51 (1.35; 1.69) |
Pain radiating to the back | 1.66 (0.92; 3.00) | 0.94 (0.86; 1.03) |
Pain duration between 30 min.-1 hour | 1.67 (1.07; 2.60) | 0.89 (0.80; 1.01) |
Pain duration between 1-30 min. | 1.79 (1.36; 2.36) | 0.73 (0.60; 0.89) |