Geleijnse et al developed a chest pain score to evaluate patients with spontaneous chest pain. The authors are from the University Hospital Rotterdam-Dijkzigt in The Netherlands.
NOTE: The table is based on a best guess. Some parameters seem to have 1 response, while categories may have a response for each component.
Parameters:
(1) location of the chest pain
(2) radiation of the pain
(3) character of the pain
(4) severity of the pain
(5) effect of various interventions (nitroglycerin, breathing, "stature") on the pain
(6) associated symptoms (dyspnea, nausea or vomiting, diaphoresis)
(7) history of a exertional angina
|
Parameter |
Finding |
Points |
|
location |
substernal |
3 |
|
|
precordial |
2 |
|
|
neck |
1 |
|
|
jaw |
1 |
|
|
epicardium |
1 |
|
|
apical |
-1 |
|
radiation of the pain |
either arm |
2 |
|
|
shoulder or back |
1 |
|
|
neck or jaw |
1 |
|
|
none |
0 |
|
character |
crushing, pressing, squeezing |
3 |
|
|
heavy, tight |
2 |
|
|
sticking, stabbing, pinprick, catching |
-1 |
|
severity |
mild |
0 |
|
|
moderate |
1 |
|
|
severe |
2 |
|
influenced by nitroglycerin |
no |
0 |
|
|
yes |
1 |
|
influenced by "stature" |
no |
0 |
|
|
yes |
-1 |
|
influenced by breathing |
no |
0 |
|
|
yes |
-1 |
|
dyspnea |
no |
0 |
|
|
yes |
2 |
|
nausea or vomiting |
no |
0 |
|
|
yes |
2 |
|
diaphoresis (sweating) |
no |
0 |
|
|
yes |
2 |
|
history of exertional angina |
no |
0 |
|
|
yes |
3 |
where:
• I am not sure what "stature" refers to. I will assume that it means standing up.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: -4
• maximum score: 20
• The higher the score the more likely it represents myocardial ischemia.
Purpose: To evaluate a patient with chest pain using the chest pain score of Geleijnse et al.
Specialty: Cardiology
Objective: severity, prognosis, stage, differential diagnosis and mimics, red flags
ICD-10: R07,
