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) |
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