Chest Pain Referral Criteria

Rapid Access Chest Pain Clinic Referral Criteria

Referral Criteria:

Exertional chest pain suspected to be ischaemic in origin
(Example: typical areas chest, neck, jaw, arms, upper back on exertion, resolves <5 minutes at rest)
Age >40 unless exceptional circumstances (please detail this in the reason for referral)
Recent bloods taken (last 6 months). Must include: FBC, U+E, TFT, LFT, Lipids and Hba1c
If shortness of breath only and no chest pains please request a CXR/ BNP and consider other causes too

Exclusions (all answers below must be 'No')

Does the patient have uncontrolled heart failure?
Do they have suspected aortic stenosis? (if so request an echo and if AS confirmed refer to General Consultant Cardiologist)
Do they have an uncontrolled arrhythmia? (if so refer to Palpitations clinic)
Under current follow up in cardiology outpatient clinic

Important Information:

Palpitations Clinic Referral Criteria

Referral criteria:

Symptoms of palpitations (more than a one off episode)
AF that is a potential candidate for DCCV and or ablation (if for rate control only for the GP to manage and up-titrate medications)
Evidence of pre excitation
Evidence or suspicion of SVT that may need referral for ablation
Recent bloods taken (last 6 months). Must include: FBC, U+E, TFT, LFT and Lipids

Exclusions (all answers below must be 'No')

Under current follow up in cardiology outpatient clinic
No evidence of syncope with the palpitations (please refer to general Cardiology clinic)

Important Information:

Referrals without recent bloods will be rejected
Consider requesting a 24hr tape +/- echo if appropriate due to long waits and clinic appointments
Attached any recent 12 lead ECG/24 ECG recording to referral

Rapid Access Heart Failure Clinic Referral Criteria

Referral criteria:

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