Acute GP service

<12hrs post chest pain

If haemodynamically unstable, these patients may require a '999' ambulance.

Please perform an ECG - admit via 999 ambulance if this shows acute changes. e.g.:

• ST elevation in two or more contiguous leads of >2mm in chest leads or >1mm in limb leads

• or new Left Bundle Branch Block

If haemodynamically stable with none of the above ECG changes, please discuss these paitents with the Acute GP service.