185 Stress echo is an effective triage tool in patients with stable chest pain referred to a rapid access chest pain clinic

Introduction This study assessed the long-term outcomes of patients with chest pain (CP) who had attended a Rapid Access Chest Pain Clinic (RACPC) and were by Dobutamine Stress Echocardiography (DSE). Patients in RACPC are now recommended to under cardiac CT first ischaemia testing reserved for those atypical symptoms coronary disease on CTCA or uncertainty about clinical significance lesions detected CT; this guidance was based improved seen PROMISE SCOT-HEART when performed using exercise testing. No studies have specifically examined outcome population undergoing DSE. Method Demographic data DSE results collected 537 between 2005 2014. Follow-up over 5-year period categorised into ischaemic events (IE) non-ischaemic events. according presence absence II low, medium high risk number segments II. Chi Square used analyse associations category outcomes. Results There 337 normal, 99 abnormal rest scan but no inducible (AbR) 101 Those further subdivided 34 low-risk, 47 intermediate-risk (IR) 20 high-risk. 87 including 0 deaths, 23 non-cardiac 29 IE 35 non-IE. an NPV 100% prediction death 97% follow-up period. 21% 71 whilst 3% without IE. increased extent ischaemia, independently whether patient offered early revascularisation. Conclusion In cohort excellent mortality 5 years follow-up. The predict also good. compare favourably benefits demonstrated group patients. is reasonably alternative assessment attending RACPC. Conflict Interest None