Suspected ischaemic chest pain

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If at any time you would like an opinion on an ECG, email or fax it to CCU at:

  • ECG email: ECG.highland@nhs.net
  • CCU Fax line: 01463 705993
  • CCU Hotline: 01463 729711

Chest Pain- Printable Document

Acute Coronary Syndrome Guideline

Stable Angina Guideline

Referral Criteria

The RACP service will accept referrals where all the following conditions are met.

  1. Does the patient complain of angina like symptoms lasting less than 30 minutes?
  2. Are the symptoms provoked by walking or other cardiovascular exercise?
  3. Are the symptoms relieved by rest or GTN?

The following are not suitable for referral to the service:

  1. Symptoms lasting longer than 30 minutes.
  2. Symptoms occurring predominantly at rest.
  3. Patients who have attended a Cardiology clinic in the previous 12 months.
  4. Patients with clinical evidence of heart failure.

Please provide relevant past medical history i.e. MI; CABG; Hypertension; Hypercholesteroaemia; PVD/TIA; Diabetes and the patients current medication.

Glossary
Abbreviation Meaning
GTN Glyceryl trinitrate
STEMI ST-Elevation Myocardial Infarction 
MI Myocardial infarction
CABG Coronary artery bypass graft
PVD Peripheral vascular disease
TIA Transient ischaemic attack
Editorial Information

Last reviewed: 13 June 2019

Next review: 13 June 2021

Author(s): Department of Cardiology

Version: 4

Approved By: TAM subgroup of ADTC

Reviewer Name(s): MCN Clinical Lead and Consultant Cardiologist

Document Id: TAM140