Abstract Background: One of the key point in AMI management is rapid diagnose that convincingly support immediate treatment

and prevent many other complications. Treatment delay significantly contributes to the adverse consequences of patient outcomes, accounted for 10-40% of shock and death. More than 2000 patients per year admited to emergency departments with acute chest pain, 80% among those patients was diagnosed as STEMI. Hence, simple and appropriate chest pain assesment method is important to support the diagnosis of AMI. The aim of this study was to analyze the sensitivity and specificity of chest pain assessment in diagnosing AMI. Methods: Seventy nine patients with chest pain (aged 57,71 + 1,39 years old, 57,7% man) was randomly selected among patient admitted to Emergency Department dr. Saiful Anwar General Hospital during August 2011 to January 2012. Patients with chest pain admitted to EDs General Hospital dr. Saiful Anwar Malang was assessed by health care professional. Trained observers were recruited to fill in chest pain questionnaire in the form of check list during the assesment process. The data were analysed by SPSS 16 for Windows. Every question was analyzed by crosstabs method in order to account the odds ratio. The odd ratio was accounted using ad/bc formula, whereas explained by table .. method in order to measure sensitivity were accounted using these formula {a/(a+c)} and specificity were accounted using these formula {d/(d+c)}.

Result: High odds ratio was defined as value achieving greater than one, this value was achieved by 4 questions (questions number 14, 18, 15, 9). All of this questions were analyzed by using Receiver Operating Characteristic (ROC) curve. Nilai ROC tertinggi dicapai pertanyaan apa? Cut point tertinggi, secara singkat kenapa kok itu yg tinggi.

Conclusion: this study suggested that pertanyaat tersebut sensitive dan spesifik untuk mengidentifikasi IMA dengan menganamnesis nyeri nya Method

Seventy nine patientswith chest pain (aged 57,71+ 1,39 years old, 57,7% man) were randomly selected among patient admitted to Emergency Department dr. Saiful Anwar General Hospital during August 2011 to January 2012. Patients were classified as AMI (STEMI/NSTEMI) and non AMI. This classification were made based on the healthcare professionals diagnose. Patient presented with chest pain and able to communicate were included in this study.Chest pain were categorized by cardiac chest pain and non cardiac chest pain.

Patients with chest pain who admitted to Emergency Department General Hospital dr. Saiful Anwar Malang was assessed by health care professionals. Trained observer were recruited to fill in chest pain questionnaire in the form of check list during the assesment process. The data were analysed by SPSS 16 for Windows. Every question was analyzed by crosstabs method in order to account the odds ratio. The odd ratio was accounted using ad/bc formula, whereas explained by table .. Odds ratio is one of a range of statistics used to assess the risk of a particular outcome (or disease) if a certain factor (or exposure) is present (Crichton, 2001). We were measured them using 2x2 table below (Kumar and Indrayan, 2011). Table. Diagnostic test results in relation to true disease in a 2x2 table Diagnostic test results Test is positive Test in negative Disease status Patients with disease a c Patient without disease b d

Sensitivity defined as proportion of people with disease who will a positive results (Akobeng, 2006). Specificity defined as the proportion of people without the disease who will have a negative result (Akobeng, 2006). Sensitivity and specificity were accounted using these formula sensitivity = {a/(a+c)} and specificity = {d/(d+c)}. Odds ratio greater than 1 wereprocessed into ROC curve to determine the AUC value. An odds ratio greater than 1 were implied a positive association between the exposure and the condition of interest (Spitalnic, 2006). The receiver operating characteristic (ROC) curve is the plot that displays the full picture of trade-off between the sensitivity (true positive rate) and (1-specificity) (false positive rate) across a series of cut-off points

(Medicalbiostatistics.com, 2010). AUC (area under the ROC curve), which ranges from 0 to 1, could also be used to assess the model discrimination (Chan, 2004). AUC is a measure of how well a parameter can distinguish between two diagnostic groups (diseased/ normal) (medcalc, 2012).

Limitation the study The limitation concerns the cross-diciplinary nature of this research project. When there's a patient who comes to ED anamimnesis submitted do not lead so it took a long time to make and enforce anamimnesis diagnosis. because the researcher only as observer, structured in

accordance with the anamimnesis giudeline penatalaksanaan chest pain cannot be implemented with optimally.