Acute Coronary Syndrome and Percutaneous Coronary Intervention (ACS +/- PCI)

Availability

North South North West Statewide

Pre-referral work-up

History

Post -sternotomy will automatically be referred to RHH program.

All referrals should comply to referral standards and include in particular:

  • Relevant history including family history
  • Any reports of suspected cardiac symptoms e.g. atypical chest pain including outcomes of any related investigations
  • Reason for referral
  • Risk factor profile especially smoking
  • Current and previous medications
  • Co-morbidities especially those that may impact on capacity to exercise
  • Any other relevant information

Tests

  • Troponin, CK (ACS)
  • Lipid profile, fasting BGL, HbA1c

Interim/GP management

To refer a patient with this condition, please see the Cardiac Rehabilitation, Secondary Prevention clinic page for the full referral process and templates.

Information regarding any practice nurse education support provided.

Direct link to Health Pathways Percutaneous Coronary Intervention (PCI) Follow Up page

For more information please see the Tasmanian Health Pathways website.

Semi-urgent / category 2

  • Any post sternotomy wound issues
  • Symptoms related to medications e.g. postural hypotension

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100 Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment