Tag Archives: invasive coronary angiography

At our tertiary PCI centre in London, we conducted a retrospective audit of all patients admitted under the acute medical take with a diagnosis of non-ST-elevation – acute coronary syndrome (NSTE-ACS) between October 2023 and October 2024. As per our Trust pathway, patients with NSTE-ACS were admitted under acute medicine, rather than cardiology, if they did not have significant dynamic electrocardiogram (ECG) changes, ongoing chest pain, pulmonary oedema, cardiogenic shock, ventricular arrhythmias or a history of coronary intervention in the preceding 30 days. In total, 74 patients underwent coronary angiography with a mean age of 64.2 ±

Introduction Undifferentiated chest pain places a significant burden on the UK National Health Service (NHS). Up to 50% of the general population experiences chest pain in their lifetime contributing to at least 1% of GP consultations and 5% of accident and emergency (A&E) attendances.1 Chest pain patients have a twofold higher mortality versus age-matched asymptomatic controls.1 One reason is undiagnosed obstructive coronary artery disease (CAD), which has effective treatments to prolong life and improve symptoms.1 The challenge is identifying the patients at greatest risk, providing a timely diagnosis and starting effective treatment. T

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