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Acute GP service
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This is a site intended for clinicians - all guidelines must be interpreted in the context of clinical risk assessment
Acute GP <12hrs post chest pain protocol
Please note this currently being used but awaiting ratification (as of 11/10/18)
* There are different methods to establish high and low risk patients:
•GRACE scoring (NB this is a mortality score, but is used here as a pretest probability...with abnormal cardiac enzymes one criteria. Make of it what you will)
•NICE guidance IHD risk stratification
•Clinical judgement – if a clinician deems a patient to be high risk, there is evidence this is a valid and valuable risk assessment in itself in patients with potential ischaemic heart disease
![RCHT TnI ACS pathway.png](https://static.wixstatic.com/media/fbb0cb_d0ce93db2ae848afb9946db56348e7d8~mv2.png/v1/fill/w_940,h_704,al_c,q_90,usm_0.66_1.00_0.01,enc_auto/RCHT%20TnI%20ACS%20pathway.png)
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