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The Nurse-Led Rapid Access Angina Clinic is for the rapid assessment and investigation of suspected angina. Patients who are felt to have angina should be commenced on antianginal therapy in accordance with
NICE Guideline CG126 as per Formulary guidance.
Patients with suspected acute coronary syndromes (as per NICE Guideline GC95) should be admitted via the Medical Triage Unit. Patients with ongoing cardiac chest pain or acute electrocardiogram (ECG) changes should be admitted urgently via 999 ambulance.
Patients referred to this clinic will see a specialist nurse trained in the assessment of angina.
Please note that the clinic is open to all patients with suspected new-onset angina even if the patient has known coronary artery disease (previous investigations, Percutaneous Coronary Intervention (PCI) or bypass grafting).
If procedures have been performed elsewhere, it would be extremely helpful if any relevant correspondence could be attached please.
This is a nurse-led service and other conditions fall outside of their scope of practice and such referrals will unfortunately not be able to be seen. Patients under follow-up in a cardiology clinic should be flagged to the specific consultant.
Patients with other cardiac symptoms (e.g. palpitations), or chest pain in the context of suspected heart valve disease, should be referred to a consultant cardiology clinic.
Please use the Advice & Guidance service if appropriate, or make a referral to the General Cardiology service.
The referral should be made via the mandatory proforma and should include;
The following are mandatory to include (referrals will be returned if not included)
Please note that the clinic is open to all patients with suspected new-onset angina even if the patient has known coronary artery disease (previous investigations, PCI or bypass grafting).
If procedures have been performed elsewhere, it would be extremely helpful if any relevant correspondence could be attached please.
Referrals may be returned if the criteria are not evident in the referral letter.
The referral should be made via the mandatory proforma and should include;
The following are mandatory to include (referrals will be returned if not included)
e-Referral Service Selection
Rapid Access Chest Pain Clinic Referral Form - no merge fields
Rapid Access Chest Pain Clinic Referral form - RD&E - systmOne
This guideline has been signed off on behalf of the NHS Devon.
Publication date: August 2019