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Nice guidance on the investigation of chest pain
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  • Published on:
    NICE guidance on the investigation of chest pain

    Sir, As a "jobbing cardiologist", I am grateful for the NICE guidance on the investigation of stable chest pain. I am grateful for the emphasis on clinical assessment, and I am grateful for the shift away from exercise testing. I am astonished, however, that the guideline does not say one word about the utility of a therapeutic trial in cases of uncertainty, and nor does the editorial by Fox & McLean. Every cardiol...

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    Conflict of Interest:
    None declared.
  • Published on:
    Prediction of risk; not all risk is mortality.
    • Mamas A Mamas, Cinical Lecturer Cardiology
    • Other Contributors:
      • Douglas Fraser, Consultant Interventional Cardiologist, Manchester Heart Centre

    The recent editorial of Fox and Mclean concludes â₁“The NICE guidance on chest pain provides a series of important advances over the current status of investigation and triage of chest pain and should be welcomed by the profession 1. One of the key recommendations of the recently published National Institute for Health and Clinical excellence (NICE) guidelines for the early management of unstable...

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    Conflict of Interest:
    None declared.