| Exertional Pain | ||
| Positive likelihood ratio 2.35 ( Goodacre S et al. ) (average) 2.35 | Negative likelihood ratio 0.76 ( Goodacre S et al. ) (average) 0.76 | |
| Crackles | ||
| Positive likelihood ratio 2.08 ( Mant J et al. ) (average) 2.08 | Negative likelihood ratio 0.76 ( Mant J et al. ) (average) 0.76 | |
| Nausea | ||
| Positive likelihood ratio 1.88 ( Mant J et al. ) (average) 1.88 | Negative likelihood ratio 0.77 ( Mant J et al. ) (average) 0.77 | |
| Polakysuria | ||
| Positive likelihood ratio 1.80 ( Rudi Bruyninckx et al. ) (average) 1.80 | Negative likelihood ratio 0.60 ( Rudi Bruyninckx et al. ) (average) 0.6 | |
| Sweating | ||
| Positive likelihood ratio 1.34 ( Rudi Bruyninckx et al. ) 2.06 ( Mant J et al. ) (average) 1.70 | Negative likelihood ratio 0.85 ( Rudi Bruyninckx et al. ) 0.65 ( Mant J et al. ) (average) 0.75 | |
| Vomiting | ||
| Positive likelihood ratio 1.32 ( Rudi Bruyninckx et al. ) (average) 1.32 | Negative likelihood ratio 0.93 ( Rudi Bruyninckx et al. ) (average) 0.93 | |
| Pain in left arm | ||
| Positive likelihood ratio 1.30 ( Rudi Bruyninckx et al. ) (average) 1.30 | Negative likelihood ratio 0.88 ( Rudi Bruyninckx et al. ) (average) 0.88 | |
| Epigastric pain | ||
| Positive likelihood ratio 1.05 ( Rudi Bruyninckx et al. ) (average) 1.05 | Negative likelihood ratio 0.98 ( Rudi Bruyninckx et al. ) (average) 0.98 | |
| Chest-wall tenderness | ||
| Positive likelihood ratio 0.17 ( Rudi Bruyninckx et al. ) 0.30 ( Goodacre S et al. ) 0.23 ( Mant J et al. ) (average) 0.23 | Negative likelihood ratio 1.41 ( Rudi Bruyninckx et al. ) 1.27 ( Goodacre S et al. ) 1.18 ( Mant J et al. ) (average) 1.29 |
| Troponin I > 1,5 ng/mL after 6 hours | ||
| Positive likelihood ratio 15.33 ( Zimmerman J et al. ) (average) 15.33 | Negative likelihood ratio 0.09 ( Zimmerman J et al. ) (average) 0.09 | |
| ST-elevation | ||
| Positive likelihood ratio 13.10 ( Mant J et al. ) (average) 13.10 | Negative likelihood ratio 0.47 ( Mant J et al. ) (average) 0.47 | |
| CK-MB subforms ratio > 1,6 after 6 hours | ||
| Positive likelihood ratio 8.27 ( Zimmerman J et al. ) (average) 8.27 | Negative likelihood ratio 0.10 ( Zimmerman J et al. ) (average) 0.1 | |
| Q-waves | ||
| Positive likelihood ratio 5.01 ( Mant J et al. ) (average) 5.01 | Negative likelihood ratio 0.45 ( Mant J et al. ) (average) 0.45 | |
| ST-depression | ||
| Positive likelihood ratio 5.00 ( Fanaroff AC et al. ) 3.13 ( Mant J et al. ) (average) 4.07 | Negative likelihood ratio 0.80 ( Fanaroff AC et al. ) 0.60 ( Mant J et al. ) (average) 0.7 | |
| Normal ECG | ||
| Positive likelihood ratio 0.14 ( Mant J et al. ) (average) 0.14 | Negative likelihood ratio 1.58 ( Mant J et al. ) (average) 1.58 |
| 1. | Rudi Bruyninckx et al. Signs and symptoms in diagnosing acute myocardial infarction and acute coronary syndrome: a diagnostic meta-analysis. Br J Gen Pract 2008; 58 (547): e1-e8. |
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| 2. | Goodacre S et al. How Useful Are Clinical Features in the Diagnosis of Acute, Undifferentiated Chest Pain? Academic emergency medicine 2002; 9:203–208 |
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| 3. | Mant J et al. Systematic review and modelling of the investigation of acute and chronic chest pain presenting in primary care. Health Technology Assessment Volume: 8, Issue: 2, Published in February 2004 |
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| 4. | Zimmerman J et al. Diagnostic marker cooperative study for the diagnosis of myocardial infarction. Circulation. 1999 Apr 6;99(13):1671-7 |
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| 5. | Fanaroff AC et al. Does This Patient With Chest Pain Have Acute Coronary Syndrome?: The Rational Clinical Examination Systematic Review. JAMA. 2015 Nov 10;314(18):1955-65 |
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| 6. | Cervellin G et al. Epidemiology and outcomes of acute abdominal pain in a large urban Emergency Department: retrospective analysis of 5,340 cases. Ann Transl Med. 2016 Oct; 4(19): 362 |
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