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Vancouver Chest Pain Rule

Vancouver Chest Pain Rule: A 2-hour clinical rule for early discharge of patients with suspected ACS.

Mandatory Criteria (At 2 hours)

Risk Profile

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Adult patients presenting to the emergency department with non-traumatic chest pain suspicious for ACS.
Specifically designed to identify low-risk patients who can be safely discharged after a 2-hour observation and troponin period.

Last Comprehensive Review: 2026

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Adult patients presenting to the emergency department with non-traumatic chest pain suspicious for ACS.
Specifically designed to identify low-risk patients who can be safely discharged after a 2-hour observation and troponin period.

Last Comprehensive Review: 2026

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