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The Changing Face of Chest Pain


I read with interest the article “ The NICE Guideline on chest pain of recent onset: What does it mean for the Acute Physician?”.1 I struggle to recall a day’s take occurring without at least one or two patients presenting to the Acute Medical Unit (AMU) with chest pain, awaiting Troponin results. To admit the majority of these patients for prolonged observation, and ECG monitoring may waste resources, but needs to be weighed up against th risk of missing the one ‘troponin negative’ acute coronary syndrome with an atypical history.

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