Heartburn or angina? Differentiating gastrointestinal disease in primary care patients presenting with chest pain: a cross sectional diagnostic study

Table 3 Clinical recommendation

Useful for including disease	LR +	Useful for excluding disease	LR +
GI disease
Pain worse with food intake	21.00	Pain depending on exercise	0.27
Vomiting	4.50	Pain worse with breathing	0.27
Retrosternal pain	5.25	Pain worse with movement	0.29
GERD
Pain worse with food intake	10.5	Localized muscle tension	0.38
Retrosternal pain radiation	6.39