Heart Education Awareness Resource and Training through eLearning (HEARTe)
Consultation with the GP later that day
Q: What do you think would be good practice by the GP at Mary’s consultation?
Good practice – true
Not required at this time – false
Clinical history – To allow a differential diagnosis
Examination inc, listening for heart sounds – To determine if an echo is required and any other abnormalities
Bloods: U&Es, fasting (preferred) Glucose, FBC, Cholesterol profile, TFTs – It provides extra information to detect any abnormalities
ECG – To detect any abnormalities
Review/prescribe anti-anginal therapy – The GP may or may not make any changes to medication until review
Consider referral to Rapid Access Chest Pain Clinic (RACPC) – This allows specialist consultaton /- ETT
Bloods: coagulation, Troponin – Not required at this time by the GP
Hospital & Depression (HAD) score – Not required at this time by the GP
Chest X-ray – Not required at this time by the GP
Echo – Not required at this time by the GP
Pulse point
Patients with suspected angina should have a detailed initial clinical assessment which includes history, examination and an assessment of pulse, blood pressure, haemoglobin, thyroid function, cholesterol and glucose levels.
