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Investigation of patients presenting with chest pain
  1. Adam Timmis
  1. Correspondence to Dr Adam Timmis, NIHR Cardiovascular Biomedical Research Unit, Barts Health, Queen Mary University London, London, EC1M 6BQ, UK; adamtimmis{at}

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The paper by Patterson et al1 illustrates why the National Institute of Health and Care Excellence (NICE) and ESC guidelines2 ,3 recommend no non-invasive testing in patients presenting with undifferentiated chest pain in whom a non-cardiac cause is suspected or the probability of coronary artery disease (CAD) is judged to be very low (NICE <10%, ESC <15%). Table 5 shows there were 351 such patients, of whom 24 were subsequently diagnosed with …

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  • Competing interests I chaired the NICE guideline group: Chest pain of recent onset: Assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin. NICE guidelines [CG95] Published date: March 2010.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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