Ever feel like the “history” part of the HEART score can be a soft call? @amalmattu offers a great approach. Patient gets 2 points with 2 or more (1 for 1, 0 for 0) of the following: #emPearlpic.twitter.com/EbTGaDYQzI
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I am pretty liberal in dishing out points- the problem is most of the likelihood ratios for those typical chest pain symptoms are equally bad, as per data in this JAMA review:https://www.grepmed.com/images/3046/acutecoronarysyndrome-likelihoodratios-predictors-cardiology-chestpain-diagnosis-symptoms …