Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Angina - stable - Management
When should I refer someone at routine review?

  • If the person has poorly controlled angina symptoms, see Referral.
  • If the person is stable on treatment, referral to a cardiologist is not usually required. However, refer promptly if:
    • Stress testing (for example exercise tolerance testing) has not been done as part of the diagnostic process.
    • The result of stress testing was highly abnormal, but the person has not been reviewed by a specialist.
    • A murmur is detected that has not been assessed by a specialist.
  • Also consider referral if:
    • There are several risk factors or a strong family history.
    • The person requests it.
    • There are problems with employment or life insurance.
    • A significant comorbidity (such as diabetes) is present.

In depth

© NHS Institute for Innovation and Improvement