Rouan Decision Rule for Myocardial Infarction
Rouan Decision Rule for Myocardial Infarction[ Rule to determine the prevalence and characteristics of acute myocardial infarction (AMI) patients who present to emergency departments with normal or nonspecific electrocardiograms (ECGs). [select name="Q1" value="no=0|YES=1"] <-- Age greater than 60 years [select name="Q2" value="no=0|YES=1"] <-- Diaphoresis [select name="Q3" value="no=0|YES=1"] <-- History of MI or angina [select name="Q4" value="no=0|YES=1"] <-- Male sex [select name="Q5" value="no=0|YES=1"] <-- Pain described as pressure [select name="Q6" value="no=0|YES=1"] <-- Pain radiating to arm, shoulder, neck, or jaw Score --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)" memo="Score"] out of 6 Interpretation --> [calc value="score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>3?'Up to 26.0%':score>2?'Up to 12.0%':score>1?'Up to 4.8%':score>0?'Up to 3.4%':'Up to 0.6%'" memo="Risk of MI"] risk of myocardial infarction. [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] reference: [link url="//www.ncbi.nlm.nih.gov/pubmed/2683709" memo="#1"] Rouan (1989) Am J Cardiol. 64: 1087-92. [link url="//www.ncbi.nlm.nih.gov/pubmed/16342831" memo="#2"] Cayley (2005) Am Fam Physician. 72: 2012-21. [/conditional]
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