Ronga et al developed a clinical prediction rule for Chest Wall Syndrome (CWS). This can help to distinguish patients with this condition from other causes of chest pain. The authors are from the University of Lausanne, the University of Geneva, and the University of Marburg.
Patient selection: chest pain
Parameters:
(1) pain reproducible by palpation
(2) history of coronary heart disease
(3) pain location
(4) pain localization
(5) stabbing pain
(6) physician’s concern about the pain
|
Parameter |
Finding |
Points |
|
pain reproduced by palpation |
no |
0 |
|
|
yes |
2 |
|
history of coronary heart disease |
no |
1 |
|
|
yes |
0 |
|
pain location |
retrosternal and/or oppressive |
0 |
|
|
neither |
1 |
|
pain localization |
not well localized |
0 |
|
|
well localized |
1 |
|
stabbing pain |
no |
0 |
|
|
yes |
1 |
|
physician concerned |
yes |
0 |
|
|
no |
1 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 7
• A score >= 6 was considered positive.
|
Score |
Prevalence CWS |
|
0 |
< 5% |
|
1 |
5-10% |
|
2 |
18% |
|
3 |
35% |
|
4 |
55% |
|
5 |
66% |
|
6 |
75% |
|
7 |
80% |
from Figure 3 page 6
Performance:
• The area under the ROC curve is 0.8.
Specialty: Cardiology
ICD-10: ,
