A rapid access cardiology service for chest pain, heart failure and arrhythmias accurately diagnoses cardiac disease and identifies patients at high risk: A prospective cohort study

Heart

Volumn 92, Issue 8, 2006, Pages 1084-1090

  Tenkorang, J N ^a   Fox, Kevin F ^a,b   Collier, T J ^c   Wood, D A ^b  

^a CHARING CROSS HOSPITAL   (United Kingdom)

^b IMPERIAL COLLEGE LONDON   (United Kingdom)

^c LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COHORT ANALYSIS; CONTROLLED STUDY; FOLLOW UP; GENERAL PRACTITIONER; HEART ARRHYTHMIA; HEART DISEASE; HEART FAILURE; HEART PALPITATION; HUMAN; MAJOR CLINICAL STUDY; MORTALITY; PRIORITY JOURNAL; QUESTIONNAIRE; THORAX PAIN; UNITED KINGDOM;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ALGORITHMS; AMBULATORY CARE; ANGINA PECTORIS; ARRHYTHMIA; CARDIOLOGY SERVICE, HOSPITAL; COHORT STUDIES; EXERCISE TEST; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEART FAILURE, CONGESTIVE; HUMANS; LONDON; MALE; MIDDLE AGED; PHYSICAL EXAMINATION; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; RISK FACTORS;

EID: 33746450353     PISSN: 13556037     EISSN: None     Source Type: Journal    
DOI: 10.1136/hrt.2005.079376     Document Type: Article

References (21)

1. Department of Health. The National Service Framework for coronary heart disease. London: Department of Health, 2000.
2. Martins JL, Fox KF, Wood DA, et al. A rapid access arrhythmia clinic for the diagnosis and management of arrhythmias in the population. Heart 2002;85(suppl I):i21.
3. Fox KF, Cowie MR, Wood DA, et al. A rapid access heart failure clinic provides a prompt diagnosis and appropriate management of new heart failure presenting in the community, Eur J Heart Fail 2000;2:423-9.
4. Cowie MR, Wood DA, Coats AJ, et al. Survival of patients with a new diagnosis of heart failure: a population study. Heart 2000;83:505-10.
5. National Institute for Health and Clinical Excellence. Chronic heart failure: national clinical guideline for diagnosis and management in primary and secondary care, NICE guideline no 5. London: Royal College of Physicians, 2003, http://www.nice.org.uk/pdf/Full_HF_Guideline.pdf (accessed 1 Feb 2006).
6. Jain D, Fluck D, Sayer JW, et al. One stop chest pain clinic can identify high cardiac risk. J R Coll Physicians Lond 1997;31:401-4.
7. Ghandi MM, Lampe FC, Wood DA. Incidence, clinical characteristics and prognosis of angina pectoris. Br Heart J 1995;73:193-8.
8. Dougan JP, Mathew TP, Riddell JW, et al. Suspected angina pectoris: a rapid-access chest pain clinic. Q J M 2001;94:679-86.
9. McManus RJ, Mant, J, Davies AK, et al. A systematic review of the evidence for rapid access chest pain clinics, Int J Clin Pract 2002;56:29-33.
10. Newby DE, Fox KAA, Flint LL, et al. A same day direct access chest pain clinic: improved management and reduced hospitalization. Q J M 1998;91:333-7.
11. Byrne J, Murdoch D, Morrison C, et al. An audit of activity and outcome from a daily and a weekly "one stop" rapid assessment chest pain clinic. Postgrad Med J 2002;78:43-6.
12. El Gaylani N, Weston CF, Shandall A, et al. Experience of a rapid access acute chest pain clinic. Irish Med J 1997;90:139-40.
13. Davie AP, Caesar D, Caruana L, et al. Outcome from a rapid-assessment chest pain clinic. Q J Med 1998;91:339-43.
14. Tenkorang JN, Fox KF, Wood DA. A brief report on the data available on rapid access cardiology clinics. BrJ Cardiol 2005;12:139-41.
15. Wood DA, Fox KF, Gibbs SR. Rapid cardiology: for chest pain, breathlessness and palpitations. Q J M 2001;94:177-8.
16. Sekhri N, Timmis AD. Rapid access chest pain clinics: are they clinically effective? Hosp Med 2003;64:324-5.
17. Remme WJ, Swedberg K. Taskforce for the diagnosis and treatment of chronic heart failure. European Society of Cardiology. Guidelines for the diagnosis and treatment of chronic heart failure. Eur Heart J 2001;22:1527-60.
18. European Society of Cardiology. Management of stable angina pectoris: recommendations of the task force of the European Society of Cardiology. Eur Heart J 1997;18:394-413.
19. Office For National Statistics. Table 2.9. Deaths: underlying cause, sex and age-group, 2003, Chapter IX.Diseases of the circulatory system.In:Mortality statistics:review of the Registrar General on deaths by cause, sex and age, in England and Wales, 2003.Series DH2, no 30.London:Office For National Statistics, 2004:90-107.(http://www.statistics.gov.uk/downloads/theme_health/Dh2_30/ DH2No30.pdf (accessed 1 Feb 2006).
20. Garg R, Yusuf S. Overview of randomised trials of angiotensin-converting enzyme inhibitors on mortality and morbidity in patients with heart failure. Collaborative group on ACE inhibitor trials. JAMA 1995;273:1450-6.
21. Marini C, De Santis F, Sacco S, et al. Contribution of atrial fibrillation to incidence and outcome of ischemic stroke: results from a population-based study. Stroke 2005;36:1115-9.