Rapid access chest pain clinics in Australia and New Zealand

Med J Aust. 2023 Aug 21;219(4):168-172. doi: 10.5694/mja2.52043. Epub 2023 Aug 6.

Abstract

Chest pain is the second most common reason for adult emergency department presentations. Most patients have low or intermediate risk chest pain, which historically has led to inpatient admission for further evaluation. Rapid access chest pain clinics represent an innovative outpatient pathway for these low and intermediate risk patients, and have been shown to be safe and reduce hospital costs. Despite variations in rapid access chest pain clinic models, there are limited data to determine the most effective approach. Developing a national framework could be beneficial to provide sites with evidence, possible models, and business cases. Multicentre data analysis could enhance understanding and monitoring of the service.

Keywords: Angina pectoris; Coronary artery disease; Delivery of healthcare; Exercise test; Health planning; Risk factors.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Australien
  • Chest Pain* / diagnosis
  • Chest Pain* / etiology
  • Chest Pain* / therapy
  • Emergency Service, Hospital
  • Humans
  • Neuseeland
  • Pain Clinics*