Intended for healthcare professionals

Letters NICE on unstable angina

Dangers in the guidance

BMJ 2010; 340 doi: (Published 04 May 2010) Cite this as: BMJ 2010;340:c2395
  1. James M Glancy, consultant cardiologist1
  1. 1Hereford County Hospital, Hereford HR1 2ER
  1. james.glancy{at}

    Guidance from the National Institute for Health and Clinical Excellence (NICE) on unstable angina and non-ST segment elevation myocardial infarction raises important clinical concerns.1

    Mandating a risk score in patients is laudable, but use of the GRACE calculator produces perverse decision making because it is so dependent on age. For example, a 49 …

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