Tag Archives: exercise ECG

Although the guidelines for the assessment of acute chest pain are largely in keeping with modern practice, those for the assessment of stable chest pain of recent onset are controversial in denying a role for the exercise ECG.2 The guidance concerns only the diagnosis of obstructive coronary artery disease (CAD) causing angina (or “the diagnosis of angina” to use NICE’s incorrect terminology) and it does not consider management. It highlights the need for clinical assessment to determine the likelihood of CAD and places appropriate emphasis on the nature of the chest pain. This follows classical teaching in describing chest pain as typ