Rapid Access Chest Pain

This protocol should only be used where the following conditions apply

  • The patient has experienced recent onset of suspected stable angina.
  • The patient is experiencing deterioration of stable angina.

****** This protocol should not be used where the following conditions apply ******

  • Patients suspected of having unstable angina (frequent and recurrent chest pain at rest or on minimal exertion, lasting 15 – 20 minutes) or acute MI (these patients should be referred to the on call team for admission)
  • Patients who are attending a Cardiology Clinic (these patients should be referred to the Cardiology Consultant for an urgent appointment)
  • Patients with decompensated heart failure (these should be referred to the Cardiology Clinic)
  • Patients with known or suspected valvular disease (these should be referred to the Cardiology Clinic)
  • Patients with new, uncontrolled or symptomatic arrhythmia (these should be referred to the Cardiology Clinic)