Table 4 Round II analysis of conditions consensus
Chest Pain conditions reaching inclusion consensus for priority 1 | Inclusion % |
1. STEMI | 90 |
Non-STEMI with clinical compromise | 70 |
Acute left ventricular failure / acute heart failure | 80 |
Aortic dissection | 90 |
Cardiac tamponade | 80 |
Life-threatening asthma | 90 |
Cardiac arrest | 100 |
Tension pneumothorax | 90 |
Massive pulmonary embolism (pulmonary embolism with shock) | 100 |
Chest Pain conditions that did not achieve consensus for Priority 1 | |
Submassive pulmonary embolism (pulmonary embolism without shock but with right heart strain) | |
Arrhythmias | |
Acute Coronary Syndrome (ACS) | |
Acute left ventricular failure / acute heart failure | |
Lower respiratory tract infection/chest sepsis | |
Myocarditis | |
Oesophageal perforation/rupture | |
Pneumothorax (any) | |
Pulmonary embolism (any, including subsegmental pulmonary embolism) | |
Chest Pain conditions reaching inclusion consensus for priority 2 | Inclusion % |
STEMI | 80 |
NSTEMI requiring immediate PCI | 90 |
NSTEMI without clinical compromise | 70 |
Acute left ventricular failure / acute heart failure | 70 |
Cardiogenic shock | 90 |
Abdominal aortic aneurysm | 80 |
Lower respiratory tract infection with respiratory compromise | 80 |
Pneumothorax with hypoxia | 90 |
Ventricular tachycardia (with pulse) | 90 |
Thoracic aortic aneurysm | 70 |
Chest Pain conditions reaching exclusion consensus for priority 2 | Exclusion % |
Panic Attack | 70 |
Gastro-oesophageal reflux disease (GORD) | 100 |
Chest Pain conditions that did not achieve consensus for priority 2 | |
Acute coronary syndrome (ACS) | |
Unstable angina | |
Stable angina | |
Arrhythmias (not peri-arrest) | |
Biliary/peptic ulcer disease | |
Asthma (not life threatening) | |
COPD | |
Lower respiratory tract infection/chest sepsis | |
Pancreatitis | |
Pulmonary embolism (any, including subsegmental) | |
Pulmonary embolism with no clinical compromise | |
Pericarditis | |
Pleural effusion | |
Pneumothorax (any) | |
Supraventricular tachycardia (junctional tachycardia) | |
Chest Pain conditions that did not achieve consensus for priority 4 | |
Chest infection | |
Anxiety | |
Costochondritis | |
Gastro-oesophageal reflux disease (GORD) | |
Lower respiratory tract infection (LRTI), sub-acute | |
Pneumonia | |
Musculoskeletal chest pain | |
Pleurisy | |
Shingles | |