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.