Rapid Access Chest Pain Clinic

 

East Kent Hospitals runs an outpatients clinic for rapid access chest pain.  Patients who meet the acceptance criteria should be referred using the form below to East Kent Hospitals' Rapid Access Chest Pain Clinic using the email:  ekh-tr.2wwFaxReferrals@nhs.net

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Referral criteria

Refer if the patient meets the following:

  • New or recent onset of cardiac sounding chest pain or
  • worsening symptoms in a patient with known IHD who has not been under active follow-up by a cardiologist in the last 12 months
  • has not had an MI/PCI/CABG in the last year

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Patients not suitable for referral include:

  • those who have had MI/PCI/CABG in last year, even if they have been discharged from follow up
  • those already under a cardiologist with active follow up ongoing

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NOTE:  Do not refer patients with unstable angina/suspected MI, acute heart failure, suspected PE (seek urgent medical advice instead and refer in to A&E).  Patients with symptomatic arrhythmia, breathlessness but no chest pain, suspected heart failure or undiagnosed new murmur should be referred to consultant cardiology clinic NOT for RACPC.  Even if they have chest pain, male patients <30 years old and female patients <40 years old and patients who have had an MI/PCI/CABG in the last year and patients that are anaemic HB < 10 gd/L and/or have eGFR <30

NOTE:  As this is a Rapid Access Service, please note when referring individuals please take into consideration whether they have complex health care needs and refer them to a Consultant Cardiologist in outpatients, which will be more appropriate

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Management prior to referral

  1. Please commence on Aspirin 75 mg, Bisoprolol 1.25 - 10 mg (according to HR and BP), Atorvastatin 40 mg, GTN spray
  2. Inform patient that they will be contacted by telephone within 2 weeks

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BE AWARE THAT CHEST PAIN IN CRITICAL AORTIC STENOSIS IS AN EMERGENCY AND USE OF GTN IN SUCH CASES CAN BE FATAL

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Guidance on referral

On referral, please ask the patient to attend a walk in centre for venepuncture at the earliest opportunity (available at the William Harvey Hospital, Buckland Hospital, RVH Folkestone and Kent and Canterbury).  This will ensure that bloods are taken promptly before appointments given out to attend RACPC

Details on the East Kent Phlebotomy Service can be found here, however please note that there is not a walk in service available for bloods at QEQM.  If a patient wishes to attend the QEQM, please call 01843 235000 (Monday - Friday) between 09:00 - 17:30 to book an appointment

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Information to include on referral

Please include the following information on the referral:

  • a copy of 12 lead ECG plus recent blood test results including FBC, U+Es, TFT and cholesterol level

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Electrocardiogram

An electrocardiogram (ECG) can usually be undertaken in primary care.  If your practice does not offer ECGs, please request an ECG from East Kent Hospitals

Blood tests / Phlebotomy

If your practice does not have a practice nurse who is trained to take bloods, you can refer a patient to the Pathology Department at East Kent Hospitals for a blood test (find details here)

Alternatively, Buckland Hospital (Dover) and the Royal Victoria Hospital (Folkestone) both operate a walk-in service where no appointment is necessary, except for if the patient requires a Glucose Tolerance Test (GTT).  In the event that a GTT is required, please call 01304 222552 (for Buckland) and 01303 854484 (for Royal Victoria) to arrange a suitable appointment

Please ensure that the patient remembers to take with them their blood test form to the walk-in centres

Advice and Guidance is being made available for all specialties, and is being provided by consultant specialists at East Kent Hospitals.  To make a request or to check to if a query has been answered, you will need to log in via the electronic Referral System (eRS)

Click here for the "how to access" e-Referral Advice and Guidance Manual for instructions on how to make a request and check responses

Have a question or query?

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