Cardiology  |  Chest Pain Pathway - Assess Urgency


Chest Pain Pathway - Assess Urgency

Red Flags - require emergency referral:

  • Prolonged chest pain > 20mins in last 72 hrs.
  • Increase in frequency and severity of chest pain.
  • Chest pain at rest or with minimal exertion.
  • Presence of - dyspnoea, cyanosis, pallor, hypotension, or sweating.
  • Acute ECG changes - ST elevation, new LBBB, new ST  depression.
  • Recent onset arrhythmia.
  • Positive troponin - note may not be elevated within first 8 hours  following MI.


Chest Pain Clinic:

  • For patients with chest pain and who can perform a treadmill ECG test - then a Chest Pain Clinic appointment will be appropriate - the consultation will be held in conjunction with a treadmill ECG test.


Cardiac OPD - seen according to grading of urgency:

  • For patients who cannot perform treadmill ECG test or if there are complex features or comorbidities - then a standard Cardiology OPD appointment will be more appropriate.


Note: Advanced age or multiple co-morbidities refer Healthcare in Ageing

Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016

Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.