Limited value of the resting electrocardiogram in assessing patients with recent onset chest pain: Lessons from a chest pain clinic

M. Norell, D. Lythall, G. Coghlan, A. Cheng, S. Kushwaha, J. Swan, C. Ilsley, A. Mitchell

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Objective-To evaluate a clinic set up specifically to assess patients with recent onset chest pain, particularly those presenting with a normal resting electrocardiogram. Design-Retrospective review of case notes. Setting-Cardiac department of a tertiary referral cardiothoracic centre. Patients-250 consecutive patients with recent onset chest pain seen within 24 hours of general practitioner referral. Outcome measures-Clinical diagnosis and management. Results-40% of patients were seen within seven days of the onset of symptoms. Twenty seven per cent had non-cardiac symptoms and could be discharged while 60% were considered to have cardiac pain. Sixty six patients (26%) were admitted directly from the clinic and 48 of these underwent coronary angiography within three weeks. Seventy patients (28%) have so far undergone intervention (angioplasty or coronary artery surgery), 22 within one month of presentation. One hundred and nine patients (44%) presented with a normal resting electrocardiogram, 21 of whom were considered to have unstable angina. Forty one of these patients were investigated of whom 37 were found to have significant coronary disease and 26 have undergone intervention. Conclusions-This experience highlights the inadequacy of a routine electrocardiogram reporting service in patients with recent onset of chest pain. An alternative facility offering immediate and complete cardiac assessment produced patient benefit with early diagnosis and intervention. Investigation of these patients, however, accounted for 5% of cardiac catheterisation laboratory throughput; this was a significant additional and unscheduled workload.

Original languageEnglish (US)
Pages (from-to)53-56
Number of pages4
JournalBritish Heart Journal
Volume67
Issue number1
StatePublished - 1992
Externally publishedYes

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Pain Clinics
Chest Pain
Electrocardiography
Unstable Angina
Cardiac Catheterization
Workload
Coronary Angiography
Angioplasty
Tertiary Care Centers
General Practitioners
Coronary Disease
Early Diagnosis
Coronary Vessels
Referral and Consultation
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Norell, M., Lythall, D., Coghlan, G., Cheng, A., Kushwaha, S., Swan, J., ... Mitchell, A. (1992). Limited value of the resting electrocardiogram in assessing patients with recent onset chest pain: Lessons from a chest pain clinic. British Heart Journal, 67(1), 53-56.

Limited value of the resting electrocardiogram in assessing patients with recent onset chest pain : Lessons from a chest pain clinic. / Norell, M.; Lythall, D.; Coghlan, G.; Cheng, A.; Kushwaha, S.; Swan, J.; Ilsley, C.; Mitchell, A.

In: British Heart Journal, Vol. 67, No. 1, 1992, p. 53-56.

Research output: Contribution to journalArticle

Norell, M, Lythall, D, Coghlan, G, Cheng, A, Kushwaha, S, Swan, J, Ilsley, C & Mitchell, A 1992, 'Limited value of the resting electrocardiogram in assessing patients with recent onset chest pain: Lessons from a chest pain clinic', British Heart Journal, vol. 67, no. 1, pp. 53-56.
Norell, M. ; Lythall, D. ; Coghlan, G. ; Cheng, A. ; Kushwaha, S. ; Swan, J. ; Ilsley, C. ; Mitchell, A. / Limited value of the resting electrocardiogram in assessing patients with recent onset chest pain : Lessons from a chest pain clinic. In: British Heart Journal. 1992 ; Vol. 67, No. 1. pp. 53-56.
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