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The true value of The National Institute for Health and Care Excellence guidance
  1. Philip D Adamson,
  2. David E Newby
  1. Center for Cardiovascular Science, University of Edinburgh, Edinburgh, Scotland
  1. Correspondence to Dr Philip D Adamson; philip.adamson{at}

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To the Editor: We read with interest the Editorial on the recently updated National Institute for Health and Care Excellence (NICE) guidance for the assessment of suspected stable angina.1 The authors raise some salient points regarding the importance of careful history taking, the vexed question of the exercise ECG and the relative merits of the myriad non-invasive tests for diagnosing coronary artery disease (CAD). However, we believe they have adopted an unnecessarily alarmist tone in their criticisms and …

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  • Competing interests The authors are investigators involved in the SCOT-HEART trial.

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