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Urgent hospital assessment and admission should be arranged for people with any symptoms suggesting possible acute coronary syndrome including: (1) (2)
Pain at rest (may occur at night).
Pain on minimal exertion.
Angina that seems to be progressing rapidly despite increasing medical treatment
Refer urgently all people with suspected angina (to be seen within two weeks) to a Rapid Access Chest Pain Clinic for confirmation of the diagnosis and assessment of the severity of coronary heart disease.
Early referral to cardiologists should also be considered in the following patients:
Note that if suspected unstable angina/myocardial infarction then this requires immediate referral to secondary care.
References
1. Ford TJ, Corcoran D, Berry C. Stable coronary syndromes: pathophysiology, diagnostic advances and therapeutic need. Heart. 2018 Feb
2. Management of stable angina. Scottish Intercollegiate Guidelines Network - SIGN (April 2018).
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