Letters NICE and chest pain diagnosis

NICE replies

BMJ 2010; 340 doi: http://dx.doi.org/10.1136/bmj.c2391 (Published 04 May 2010) Cite this as: BMJ 2010;340:c2391
  1. Adam Timmis, consultant cardiologist and chair, Guideline Development Group, NICE1
  1. 1Barts and the London, Queen Mary’s School of Medicine and Dentistry, London EC1M 6BQ
  1. nice{at}nice.org.uk

    Bourdillon is correct that the recent guideline from the National Institute for Health and Clinical Excellence (NICE) on the assessment and diagnosis of recent onset chest pain does not recommend exercise electrocardiography (ECG) for diagnosing stable angina.1 The full version of the clinical guideline clearly summarises that other testing strategies have better diagnostic accuracy and are more cost effective. Bourdillon …

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