Angina/Myocardial Ischaemia/Chest Pain

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply with the Referral Standards and must include:

  • Details of relevant signs and symptoms
  • Details of all treatments offered and efficacy
  • Past medical history and comorbidities
  • Patient’s functional status
  • Family history of cardiac disease or sudden cardiac death
  • Smoking status

Tests

  • FBE
  • U&Es, Creatinine
  • Blood glucose, HbA1c if diabetic
  • Fasting lipids
  • ECG and CXR if available otherwise will be attended at clinic

Interim/GP management

To refer a patient with this condition, please see the Cardiology clinic page for the full referral process and templates.

Other information which may be useful for triage:

  • Investigations relevant to significant comorbidities
  • Cardiovascular risk assessment score
  • Other investigations (if available) including CXR, cardiac imaging: stress test, stress echo or myocardial perfusion scan
  • History of alcohol intake and drug use (including recreational drugs)

Interim management advice can be found on the Tasmanian Health Pathways website.

For more information please see the Tasmanian Health Pathways website.

Emergency

AMI or acute unstable angina
Suspected pulmonary embolism or aortic dissection

Urgent / category 1

New onset chest pain or escalation of symptoms in patients with previous cardiac history

Semi-urgent / category 2

Stable angina with inadequate symptom control

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Additional Information

Please see:

Emergency:

Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within one week, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within four weeks

Routine:

Next available appointment usually within eight weeks