Myocardial infarction probability (Goldman) - Flowchart
Myocardial infarction probability (Goldman) - Flowchart Myocardial infarction probability (Goldman) Myocardial infarction probability (Goldman)
Flowchart

Is there ST elevation or Q waves in 2 or more leads, not known to be old?

Is there ST elevation or Q waves in 2 or more leads, not known to be old?

Is there ST elevation or Q waves in 2 or more leads, not known to be old?

Patient Group : N

Percentage of this group who were determined to have an MI accounting for their symptoms : 75%

Recommended to be admitted to the Coronary Care Unit

Patient Group : N

Percentage of this group who were determined to have an MI accounting for their symptoms : 75%

Recommended to be admitted to the Coronary Care Unit

Yes

Chest pain began 48 hours ago?

Chest pain began 48 hours ago?

No

ST-T changes of ischemia OR strain, not known to be old?

ST-T changes of ischemia OR strain, not known to be old?

Yes

Prior history of angina or MI?

Prior history of angina or MI?

No

Patient Group : M

Percentage of this group who were determined to have an MI accounting for their symptoms : 21%

Recommended to be admitted to the Coronary Care Unit

Patient Group : M

Percentage of this group who were determined to have an MI accounting for their symptoms : 21%

Recommended to be admitted to the Coronary Care Unit

Yes

Patient Group : L

Percentage of this group who were determined to have an MI accounting for their symptoms : 2%

Patient Group : L

Percentage of this group who were determined to have an MI accounting for their symptoms : 2%

No

ST-T changes of ischemia OR strain, not known to be old?

ST-T changes of ischemia OR strain, not known to be old?

Yes

Pain radiates to neck or left shoulder or left arm?

Pain radiates to neck or left shoulder or left arm?

No

Patient Group : K

Percentage of this group who were determined to have an MI accounting for their symptoms : 26%

Recommended to be admitted to the Coronary Care Unit

Patient Group : K

Percentage of this group who were determined to have an MI accounting for their symptoms : 26%

Recommended to be admitted to the Coronary Care Unit

Yes

Longest pain episode 1 hour?

Longest pain episode 1 hour?

No

Pain worse than prior angina or the same as a prior MI?

Pain worse than prior angina or the same as a prior MI?

Yes

Patient Group : H

Percentage of this group who were determined to have an MI accounting for their symptoms : 4%

Patient Group : H

Percentage of this group who were determined to have an MI accounting for their symptoms : 4%

No

Patient Group : J

Percentage of this group who were determined to have an MI accounting for their symptoms : 1%

Patient Group : J

Percentage of this group who were determined to have an MI accounting for their symptoms : 1%

Yes

Patient Group : I

Percentage of this group who were determined to have an MI accounting for their symptoms : 11%

Recommended to be admitted to the Coronary Care Unit

Patient Group : I

Percentage of this group who were determined to have an MI accounting for their symptoms : 11%

Recommended to be admitted to the Coronary Care Unit

No

Age 40 years?

Age 40 years?

Yes

ST-T changes of ischemia OR strain, not known to be old?

ST-T changes of ischemia OR strain, not known to be old?

No

Patient Group : B

Percentage of this group who were determined to have an MI accounting for their symptoms : 26%

Recommended to be admitted to the Coronary Care Unit

Patient Group : B

Percentage of this group who were determined to have an MI accounting for their symptoms : 26%

Recommended to be admitted to the Coronary Care Unit

Yes

Patient Group : A

Percentage of this group who were determined to have an MI accounting for their symptoms : 2%

Patient Group : A

Percentage of this group who were determined to have an MI accounting for their symptoms : 2%

No

Chest pain reproduced by palpation?

Chest pain reproduced by palpation?

Yes

Patient Group : C

Percentage of this group who were determined to have an MI accounting for their symptoms : 2%

Patient Group : C

Percentage of this group who were determined to have an MI accounting for their symptoms : 2%

No

Patient Group : D

Percentage of this group who were determined to have an MI accounting for their symptoms : 1%

Patient Group : D

Percentage of this group who were determined to have an MI accounting for their symptoms : 1%

Yes

Pain radiates to back, abdomen or legs?

Pain radiates to back, abdomen or legs?

No

Patient Group : E

Percentage of this group who were determined to have an MI accounting for their symptoms : 8%

Patient Group : E

Percentage of this group who were determined to have an MI accounting for their symptoms : 8%

Yes

Chest pain is stabbing?

Chest pain is stabbing?

No

Patient Group : F

Percentage of this group who were determined to have an MI accounting for their symptoms : 2%

Patient Group : F

Percentage of this group who were determined to have an MI accounting for their symptoms : 2%

Yes

Patient Group : G

Percentage of this group who were determined to have an MI accounting for their symptoms : 17%

Recommended to be admitted to the Coronary Care Unit

Patient Group : G

Percentage of this group who were determined to have an MI accounting for their symptoms : 17%

Recommended to be admitted to the Coronary Care Unit

No

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