Model of Goldman et al for Estimating the Risk of Acute Myocardial Infarction in Patients with Acute Chest Pain in the Emergency Department

Is the patient presenting to the Emergency Department with acute chest pain?

Systolic blood pressure

Are rales heard over the lung bases bilaterally?

Does the person have known unstable ischemic heart disease?

Does the patient show worsening of previously stable angina?

Does the patient have the new onset of angina?

Does the patient show angina after a coronary revascularization procedure?

Does the patient have chest pain that is the same as that associated with a previous myocardial infarction?

Number of ECG leads showing ST-segment depression >= 1 mm

Number of these ST-segment inversions known to be old

Number of ECG leads showing T wave inversion

Number of these T wave inversions known to be old

Number of ECG leads showing ST-segment elevation >= 1 mm

Number of these ST-segment elevations known to be old

Number of ECG leads showing pathologic Q waves

Number of these pathologic Q waves known to be old