Intended for healthcare professionals

Letters NICE and chest pain diagnosis

W(h)ither the exercise ECG?

BMJ 2010; 340 doi: (Published 04 May 2010) Cite this as: BMJ 2010;340:c2387
  1. S Richard Underwood, professor of cardiac imaging1
  1. 1Imperial College London, Royal Brompton Hospital, London SW3 6NP
  1. srunderwood{at}

    Bourdillon questions guidance from the National Institute for Health and Clinical Excellence (NICE) that exercise electrocardiography (ECG) has no role in diagnosing obstructive coronary disease causing angina (or in diagnosing angina, as NICE says incorrectly).1 2 Perhaps a more cogent reason for questioning this conclusion is that NICE considered only diagnosis and took no account of downstream testing or …

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