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March 2016 Br J Cardiol 2016;23:37 doi:10.5837/bjc.2016.011

The clinical and cost impact of implementing NICE guidance on chest pain of recent onset in a DGH

Boyang Liu, Regina Mammen, Waleed Arshad, Paivi Kylli, Arvinder S Kurbaan, Han B Xiao

Abstract

Introduction There are 2.3 million people living with coronary heart disease in the UK, which results in a healthcare burden of 1% of all GP and 40% of all accident and emergency (A&E) visits.1 It is estimated that 20–40% of the general population will experience chest pain during their life. Chest pain caused by coronary artery disease has a potentially poor prognosis, emphasising the importance of prompt and accurate diagnosis. Treatments are available to improve symptoms and prolong life, hence, the need for the development of the National Institute for Health and Care Excellence (NICE) guidelines for the diagnosis of chest pain.1 NI

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