Tag Archives: NICE guidelines on chest pain

Introduction In 2010, the UK National Institute of Health and Care Excellence (NICE) published guidelines on the investigation of patients with chest pain and recommended the use of cardiac computed tomography (CT) in patients with low pre-test likelihood of having coronary artery disease (CAD).1 They also recommended that patients with moderate pre-test likelihood should have an imaging functional test such as myocardial perfusion scintigraphy (MPS) or dobutamine stress echo (DSE), and that patients with a high pre-test likelihood should be investigated with invasive coronary angiography (ICA) as the first-line investigation. NICE recommende