Modified Goldman risk score | 1 point for each variable present |
Typical new-onset chest pain at rest | |
Pain the same as previous myocardial infarction | |
Pain not relieved by glyceryl trinitrate (GTN) spray within 15 min | |
Pain lasting more than 60 min | |
Pain occurring with increasing frequency | |
Hypotension (systolic blood pressure <100 mm Hg) | |
Acute shortness of breath | |
Pain within 6 weeks of a myocardial infarction or revascularisation | |
Modified Goldman total | |
Trust ADP | |
Low risk* (Suitable for discharge) |
|
Not low risk |
|
*Safety point: protocol not validated in age ≥80 years.
TRUST, Triage Rule-out Using high-Sensitivity Troponin.