Commentary
Commentary by the Editor (see p133)
| The first 150 words of the full text of this article appear below. |
In this issue of
Heart we publish the guidelines on the
management of unstable angina, which have been written jointly by the
Royal College of Physicians and the British Cardiac
Society.1 They follow quite closely on the heels of the US
guidelines on the same subject.2 However, they take a
somewhat different approach. The US guidelines are long (nearly 100 pages), exhaustive, and rather cumbersome, although very informative.
The British guidelines are much briefer (10 pages), more user friendly,
and to the point. Both will be useful to the physician and
cardiologist, but the British ones are better value for the time
expended reading them! Another set of guidelines, however useful
and informative, raises the issue of the place and authority of
guidelines. They should be exactly what they say they are
guidance.
However, increasingly in the current nervous medical atmosphere, their
observance is being interpreted as mandatory. The quality of medicine,
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