Walking up Shipquay Street. a Traditional Way to Assess Cardiac Risk in Derry

NICE has recently issued guidance for patients with chest pain of recent onset suggesting exercise stress testing is of little value. Instead, an assessment is made of the nature of the pain then three risk factors in addition to age and gender are used to calculate a risk score. This allocates patients to a range of sophisticated tests including cardiac computed tomography, myocardial perfusion scan and coronary angiography.