Annals of Emergency Medicine
Volume 45, Issue 6 , Pages 581-585 , June 2005

Changes in the Numeric Descriptive Scale for Pain After Sublingual Nitroglycerin Do Not Predict Cardiac Etiology of Chest Pain

Received 14 July 2004 ,Revised 3 December 2004 ,Accepted 14 December 2004.

References 

  1. Diamond GA, Forrester JS. Analysis of probability as an aid in the clinical diagnosis of coronary artery disease. N Engl J Med. 1979;300:1350–1358
  2. Shry A, Dacus J, Van De Graaff E, et al. Usefulness of the response to sublingual nitroglycerin as a predictor of ischemic chest pain in the emergency department. Am J Cardiol. 2002;90:1264–1265
  3. Goodacre S, Locker T, Morris F, et al. How useful are clinical features in the diagnosis of acute undifferentiated chest pain?. Acad Emerg Med. 2002;9:203–208
  4. Stahmer AS, Shofer FS, Marino A, et al. Do quantitative changes in pain intensity correlate with pain relief and satisfaction?. Acad Emerg Med. 1998;5:851–857
  5. Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction). J Am Coll Cardiol. 2004;44:E1–E211
  6. Henrikson CA, Howell EE, Bush DE, et al. Chest pain relief by nitroglycerin does not predict active coronary artery disease. Ann Intern Med. 2003;139:979–986
  7. Selker HP, Beshansky JR, Griffith JL, et al. Use of the acute cardiac ischemia time insensitive predictive instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia: a multicenter, controlled clinical trial. Ann Intern Med. 1998;129:845–855
  8. Goldman L, Cook EF, Brand DA, et al. A computer protocol to predict myocardial infarction in emergency department patients with chest pain. N Engl J Med. 1988;318:797–803
  9. Goyal RK. Changing focus on unexplained esophageal chest pain. Ann Intern Med. 1996;124:1008–1011

 Author contributions: DBD, EB, and HG conceived the study. All authors participated in data collection. DBD provided statistical advice and managed the data set. DBD and EB drafted the manuscript, and all authors contributed substantially to its revision. DBD takes responsibility for the paper as a whole.Funding and support: The authors report this study did not receive any outside funding or support.Presented at the American College of Emergency Physicians annual meeting, October 2002, Seattle, WA.

PII: S0196-0644(04)01806-2

doi: 10.1016/j.annemergmed.2004.12.009

Annals of Emergency Medicine
Volume 45, Issue 6 , Pages 581-585 , June 2005