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Angina - stable - Management
When should I refer someone with suspected angina?
- Consider hospital admission for people with the following symptoms, as they may have unstable angina:
- Pain at rest (which may occur at night).
- Pain on minimal exertion.
- Angina that seems to be progressing rapidly despite increasing medical treatment.
- Refer urgently all people with suspected angina to a chest pain evaluation service, for confirmation of the diagnosis and assessment of the severity of coronary heart disease.
Basis for recommendation
- This recommendation is based on expert consensus in the National Service Framework for coronary heart disease [DH, 2000] and guidelines from the Scottish Intercollegiate Guidelines Network [SIGN, 2001; SIGN, 2007].
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