Chest Pain

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and also include:

  • Onset and nature of pain
  • Cardiac risk factors
  • Medications

Tests

  • FBE
  • U&Es, creatinine
  • Blood glucose
  • Fasting lipids
  • ECG and CXR if available otherwise will be attended at clinic

Interim/GP management

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

Develop an action plan including when to call an ambulance. Ensure patient is taking low dose aspirin unless it is contraindicated and has GNT spray and knows when and how to use it.

Direct link to Health Pathways Chest Pain page

For more information please see the Tasmanian Health Pathways website.

Emergency

AMI or acute unstable angina
Suspected pulmonary embolism or aortic dissection

Urgent / category 1

New onset chest pain or escalation of symptoms in patients with previous cardiac history

Semi-urgent / category 2

Stable angina with inadequate symptom control

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

Heart Foundation

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
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 one week, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within four weeks

Routine:

Next available appointment usually within eight weeks