Acute GP service
Cornwall
This is a site intended for clinicians - all guidelines must be interpreted in the context of clinical risk assessment
Acute Coronary Syndrome (ACS)
Please take observations, a salient history and examination and perform an ECG.
Current ongoing cardiac-sounding chest pain may require a '999' ambulance.
Consider giving 300mg chewable aspirin.
If there is recent chest pain that is new or progressively severe or more frequent, please call the Acute GP service to discuss, as lower risk, currently pain-free cases with no acute changes on ECG may be able to be seen at Camborne-Redruth community hospital (CRCH).
All Acute Coronary Syndromes (ACS) require further workup. In this context, ACS is the clinical manifestation of an unstable clot on a ruptured plaque or critical coronary stenosis with impending or actual myocardial infarction. This includes cardiac pain at rest and crescendo angina.