Description of pain |
Positive likelihood ratio (95%
CI) |
Descriptions
increasing the likelihood of MI |
Radiation to right arm or shoulder |
4.7 (1.9-12) |
Radiation to both arms or shoulders |
4.1 (2.5-6.5) |
Exertional |
2.4 (1.5-3.8) |
Radiation to left arm |
2.3 (1.7-3.1) |
Associated with diaphoresis |
2.0 (1.9-2.2) |
Associated with nausea or vomiting |
1.9 (1.7-2.3) |
Worse than previous angina or similar to previous MI |
1.8 (1.6-2.0) |
Described as pressure |
1.3 (1.2-1.5) |
Descriptions
decreasing the likelihood of MI |
Pleuritic |
0.2 (0.1-0.3) |
Positional |
0.3 (0.2-0.5) |
Sharp |
0.3 (0.2-0.5) |
Reproducible with palpation |
0.3 (0.2-0.4) |
Inframammary location |
0.8 (0.7-0.9) |
Nonexertional |
0.8 (0.6-0.9) |