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Vancouver Chest Pain Rule

Abnormal initial EKG
ST elevation, ST depression >0.5mm, Q waves, LVH, paced rhythm, or LBBB
No 0
Yes 10
Positive troponin at 2 hours
No 0
Yes 10
Prior ACS or nitrate use
No 0
Yes 10
Does palpation reproduce pain?
No 0
Yes 100
Age 50 and above?
No 0
Yes 1
Does pain radiate to neck, jaw, or left arm?
No 0
Yes 1
Result:

Background

Result Interpretation

Ranges Ranges