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

Patient Age (45y)

Guidelines & Evidence

Verified

Last Review: 2026-07-17

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: 2026-07-17

Guidelines & Evidence

Verified

Last Review: 2026-07-17

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: 2026-07-17

In Recent Clinical News

Scanning Medical Journals

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Vancouver Chest Pain Rule

Mandatory Criteria (At 2 hours)

Risk Profile

When to Use

When to Use

How it Works

The Logic

Low-Risk Criteria

Clinical Pearls

Why Palpation Matters

Safety Profile

The Evidence

Original Study

Safety and efficiency of the Vancouver Chest Pain Rule to identify patients who can be safely discharged after a brief period of observation in the emergency department.

Development and validation of a prediction rule for early discharge of low-risk patients with chest pain.

When to Use

When to Use

How it Works

The Logic

Low-Risk Criteria

Clinical Pearls

Why Palpation Matters

Safety Profile

The Evidence

Original Study

Safety and efficiency of the Vancouver Chest Pain Rule to identify patients who can be safely discharged after a brief period of observation in the emergency department.

Development and validation of a prediction rule for early discharge of low-risk patients with chest pain.

In Recent Clinical News

Vancouver Chest Pain Rule

Mandatory Criteria (At 2 hours)

Risk Profile

When to Use

When to Use

How it Works

The Logic

Low-Risk Criteria

Clinical Pearls

Why Palpation Matters

Safety Profile

The Evidence

Original Study

Safety and efficiency of the Vancouver Chest Pain Rule to identify patients who can be safely discharged after a brief period of observation in the emergency department.

Development and validation of a prediction rule for early discharge of low-risk patients with chest pain.

When to Use

When to Use

How it Works

The Logic

Low-Risk Criteria

Clinical Pearls

Why Palpation Matters

Safety Profile

The Evidence

Original Study

Safety and efficiency of the Vancouver Chest Pain Rule to identify patients who can be safely discharged after a brief period of observation in the emergency department.

Development and validation of a prediction rule for early discharge of low-risk patients with chest pain.

In Recent Clinical News