Rapid Access Chest Pain Clinic (RACPC): Utilisation and Outcomes

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Chest pain symptom scoring can improve the quality of referrals to Rapid Access Chest Pain Clinic

Typical stable angina is a clinical diagnosis based on history. The challenge for GPs in primary care is to identify those patients who are presenting with either possible or typical angina symptoms and refer onwards for specialist assessment in the local Rapid Access Chest Pain Clinic (RACPC). Our initial information gathering study suggested that referring GPs may be cautiously overdiagnosing...

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Rapid-access chest pain clinics and the traditional cardiology out-patient clinic.

BACKGROUND The National Service Framework for coronary heart disease recommends rapid-access chest pain clinics (RACPCs) for cardiological assessment of new-onset chest pain within 2 weeks of referral. AIM To measure the extent to which an RACPC successfully substituted for an out-patient cardiology clinic (OPCC) at a general hospital, in assessing new-onset chest pain referrals. METHODS Pr...

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Brain natriuretic peptide testing for angina in a rapid-access chest pain clinic.

BACKGROUND Patients complaining of chest pain are frequently referred to secondary care, although the majority have pain of non-cardiac origin. AIM To investigate whether B-type natriuretic peptide (BNP) levels are predictive of a diagnosis of non-cardiac pain. DESIGN Cross-sectional study. METHODS Consecutive patients (n = 296) presenting to a rapid-access chest pain clinic (RACPC) recei...

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Troponin-I positivity in patients referred to Rapid Access Chest Pain Clinic.

BACKGROUND Rapid Access Chest Pain Clinics (RACPCs) are set up to access patients with new onset chest pain (within the preceding three weeks), of possible cardiac origin. These patients are seen in the clinic within two weeks of referral and the attending physician takes a history, performs a routine clinical examination, and if clinically justified, a treadmill exercise test is performed acco...

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An intervention to reassure patients about test results in rapid access chest pain clinic: a pilot randomised controlled trial

BACKGROUND Most people referred to rapid access chest pain clinics have non-cardiac chest pain, and in those diagnosed with stable coronary heart disease, guidance recommends that first-line treatment is usually medication rather than revascularisation. Consequently, many patients are not reassured they have the correct diagnosis or treatment. A previous trial reported that, in people with non-...

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ژورنال

عنوان ژورنال: Heart, Lung and Circulation

سال: 2016

ISSN: 1443-9506

DOI: 10.1016/j.hlc.2016.06.135