Intended for healthcare professionals

Letters NICE and chest pain diagnosis

Exercise ECG useful in finding coronary artery disease

BMJ 2010; 340 doi: (Published 13 April 2010) Cite this as: BMJ 2010;340:c1971

This article has a correction. Please see:

  1. Peter J Bourdillon, honorary senior lecturer1
  1. 1ECG Department, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London W12 0HS
  1. p.bourdillon{at}

    The National Institute for Health and Clinical Excellence (NICE) uses probability to help diagnose chest pain,1 but why stop with symptoms?

    Since 1999 we have asked everyone attending the rapid access chest pain clinic at this hospital to complete a questionnaire.2 The probability of coronary artery disease (CAD) is then calculated from this and 12 lead electrocardiography (ECG) before the person is seen.3 All those undergoing …

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