Chest pain

Summary of changes

Deletion: flowcharts, refer to local ACS flowcharts if available

Other

  • Major restructure to clarify the management of the all types of chest pains 
  • Troponin test done first and using POC test
  • Protocol divided into treatment for angina (nitrate therapy) and heart attack (thrombolysis)

Primary references

  1. NHFA/CSANZ ACS Guideline 2016 Executive Working Group (2016) 'National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Management of Acute Coronary Syndromes 2016', Heart Lung Circulation, 25(9):895-951, doi:10.1016/j.hlc.2016.06.789

  2. National Institute for Health and Care Excellence (2020) Acute coronary syndromes [NG185], NICE Clinical Guideline, accessed 28 April 2022.

Indigenous/remote context references

  1. National Heart Foundation of Australia (2014) 'A framework for overcoming disparities in management of acute coronary syndromes in the Australian Aboriginal and Torres Strait Islander population. A consensus statement from the National Heart Foundation of Australia', Medical Journal of Australia, 200(11):639-43, doi:10.5694/mja12.11175