Clinical feature | Likelihood ratio |
Radiation of pain to the right arm or shoulder | 4.7 |
Radiation of pain to both arms or shoulders | 4.1 |
Associated with exertion | 2.4 |
Radiation of pain to the left arm | 2.3 |
Associated with diaphoresis | 2.0 |
Associated with nausea or vomiting | 1.9 |
Worse than angina/similar to previous myocardial infarction | 1.8 |
Described as pressure | 1.3 |
Described as pleuritic | 0.2 |
Described as positional | 0.3 |
Described as sharp | 0.3 |
Reproduced by palpation | 0.3 |
Not associated with exertion | 0.8 |