Rapid access chest pain clinic

Who to Refer:

• Patients who have a history of Suspected angina of new onset or have had a recent deterioration in previously stable angina.
• Patients without significant valvular pathology.

This clinic is not suitable for patients with unstable symptoms. Consider admission.

Consider cardiology clinic if patient has a heart murmur or valvular heart disease. RACPC does not have access to same day echo.

Please do not refer patients with non-cardiac sounding chest pain. i.e non-exertional and does not respond to rest or GTN spray without discussing over the phone first.

How to Refer:

Via SCI-Gateway RACPC form and attach 12 lead ECG.

Alternatives to referring phone BGH 01896 826550(direct line) or 01896 826000, ask for bleep 6550 if you wish to discuss before referring.

Please document findings from full cardiovascular and respiratory examination including documentation of any abnormal heart sounds +/- heart murmur

12 lead ECG must be included with referral.

Baseline bloods including Fasting lipid profile/glucose, FBC, TSH, U and E, LFT  (No older than 3 months from referral)

National and local websites for further information

www.sign.ac.uk (SIGN 151 Management of stable angina 2018)

www.bhf.org.uk (Link to angina information)

www.chss.org.uk (Link to angina information)

Gillian Donaldson Lead Cardiac Nurse 01896 826550

Paul Neary Consultant Cardiologist