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Table 5 Round III analysis of conditions consensus

From: Towards enhanced telephone triage for chest pain: a Delphi study to define life-threatening conditions that must be identified

Chest Pain conditions reaching inclusion consensus for priority 1

Inclusion %

STEMI

90

Non-STEMI with clinical compromise

90

Acute left ventricular failure / acute heart failure

90

Aortic dissection

90

Cardiac tamponade

100

Life-threatening asthma

100

Cardiac arrest

100

Tension pneumothorax

100

Massive pulmonary embolism (pulmonary embolism with shock)

100

Oesophageal perforation/rupture

80

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

Pneumothorax (any)

Pulmonary embolism (any, including subsegmental pulmonary embolism)

Chest Pain conditions reaching inclusion consensus for priority 2

Inclusion %

STEMI

90

NSTEMI requiring immediate PCI

90

NSTEMI without clinical compromise

90

Acute left ventricular failure / acute heart failure

80

Cardiogenic shock

90

Abdominal aortic aneurysm

90

Lower respiratory tract infection with respiratory compromise

90

Pneumothorax with hypoxia

90

Ventricular tachycardia (with pulse)

90

Thoracic aortic aneurysm

90

Acute coronary syndrome (ACS)

100

Unstable angina

70

Supraventricular tachycardia (junctional tachycardia)

80

Chest Pain conditions that did not achieve consensus for priority II

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)

Chest Pain conditions reaching inclusion consensus for priority 4

Inclusion %

Chest infection

70

Gastro-oesophageal reflex disease (GORD)

70

Lower respiratory tract infection (LRTI), sub-acute

80

Chest Pain conditions that did not achieve consensus for priority 4

Anxiety

Costochondritis

Pneumonia

Musculoskeletal chest pain

Pleurisy

Shingles

  1. STEMI: ST-elevation myocardial infraction. NSTEMI: non-ST segment elevation myocardial infraction. PCI: percutaneous coronary intervention. COPD: chronic obstructive pulmonary disease