Utility of the Diamond-Forrester Classification in Stratifying Acute Chest Pain in an Academic Chest Pain Center

Robert E Hamburger; John A. Spertus; David E. Winchester

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Utility of the Diamond-Forrester Classification in Stratifying Acute Chest Pain in an Academic Chest Pain Center

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Because the Diamond-Forrester (DF) model is predictive of obstructive coronary artery disease (CAD), it is often used to risk stratify acute chest pain patients. We sought to further evaluate the clinical utility of the DF model within a chest pain evaluation center. Methods: Consecutive patients with chest pain and no known CAD or evidence of active ischemia were asked to participate in a prospective registry. Patients were classified based on cardiovascular risk factors, age, and DF classification. We compared data from the emergency department course, Duke Activity Status Index (DASI) and Seattle Angina Questionnaire (SAQ), hospitalization rates, and results of testing between patients with typical angina and all others. Multivariate logistic regression was also used to assess for predictors of CAD by computed tomography coronary angiography (CTCA) or positive exercise treadmill testing (ETT).

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《Critical pathways in cardiology》 |2016年第2期|56-59|共4页
作者
Robert E Hamburger; John A. Spertus; David E. Winchester;
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作者单位

University of Florida College of Medicine, Gainesville, FL;

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原文格式 PDF
正文语种英语
中图分类内科学;
关键词
Chest pain; Diamond-Forrester; Duke Activity Status Index; Seattle Angina Questionnaire;

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Utility of the Diamond-Forrester Classification in Stratifying Acute Chest Pain in an Academic Chest Pain Center

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