Acute GP service

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