Our rapid access chest pain clinic (RACPC) provides a quick and early specialist cardiology assessment for patients with new onset of exertional chest pain thought likely to be angina, and for patients not currently under a cardiologist who have known ischaemic heart disease and worsening symptoms, who need urgent assessment. Clinics currently run on Tuesday and Thursday mornings on the UCH site. This is a consultant-led, one-stop clinic, which enables a rapid and definitive assessment of symptoms and investigations and results in either the initiation of treatment or the swift reassurance of patients without pathology.
All patients are offered an appointment within two weeks of a referral, with clinic letters generally sent out within 24hrs. Our clinic is a fast route of entry into cardiology services for patients with suspected ischaemic heart disease. It allows quick access to appropriate treatment, either medication or invasive procedures and to all-important advice on risk factor modification and prevention and to rehabilitation services. We will accept referrals of patients with NEW ONSET chest pain suspected to be cardiac in origin. Referrers should send patients with KNOWN ischaemic heart disease to the general cardiology clinic unless they have worsening symptoms. We can offer one stop CT coronary calcium scoring for rapid definitive rule out of coronary disease in lower risk patients.
Patients with suspected myocardial infarction (MI) or acute coronary syndromes should go directly to A&E.