RAPID ACCESS CHEST PAIN CLINIC Hotline fax 0203 315 8814 If you suspect a cardiac cause to your patient’s chest pain, we welcome your patient irrespective of: Address Any previous assessment Any previous cardiac history or revascularisation ILLEGIBLE OR INCORRECTLY COMPLETED FORMS WILL BE RETURNED AND RESULT IN DELAYS TO THE RACPC Patient Details General Practitioner Detail (or stamp) Name Referring GP Address Practice Address Date of Birth Telephone Interpreter required? Telephone Yes No Language NHS Number Fax Referral date Referral Criteria (please tick boxes) New onset exertional chest pain Pain free at rest and no clinical suspicion of an acute coronary syndrome Patients with known IHD under follow-up with recent deterioration of symptoms Details and symptoms and past cardiac history Any relevant past medical history Current medication Cardiology Clinical Nurse Specialist Appointments Contact Number – 0203 315 6666 For non-urgent enquiries call 0203 315 5936 please leave a message on the answer phone. Sue Bourne works part-time and will check the phone on Tuesdays and Thursdays and return your call GP Advice – For urgent clinical advice please call Cardiology SpR Bleep 4787 via switchboard (0203 315 8000) 2 RAPID ACCESS CHEST PAIN CLINIC Patient Information Sheet You have been referred by your doctor to the Rapid Access Chest Pain Clinic. For your appointment please report to the Outpatients Department; LG Floor – Gate 4 at Chelsea and Westminster Hospital, Fulham Road. Access is via Lift bank C or the escalator. Your doctor has asked you to come to the clinic to try and find the cause of your symptoms. The clinic provides a specialist service and allows us to find out quickly whether your chest pain is caused by heart disease or not. Usually we are able to perform the necessary tests and give you a good idea of the cause of your chest pain all at the same time. The hospital will contact you by telephone within 24 hours of receiving the referral from your GP (Mon-Fri) to arrange your appointment. If they are not able to reach you within 48 hours, a letter will be sent to your home address giving you an appointment; the appointment date will be within 14 days of the referral. If you have not heard from the hospital within 4 working days please contact the appointments office on 0203 315 6666. What will happen at the clinic? You will be seen by a Cardiology Doctor or Cardiac Nurse Specialist, who will ask you some questions and then examine your heart. They may then decide you need the following tests while you are in the hospital, or these may be arranged for a later date. An ECG (heart tracing) An exercise stress test - This helps the Cardiology team to see how your heart responds to stress. It provides information on whether there might be narrowing in the blood vessels to the heart. The test involves the electrodes being placed on the chest and walking on a treadmill whilst your pulse, blood pressure and heart tracing are monitored. Please wear shoes which are comfortable and well fitting. It takes 20-30 minutes. X-ray and blood tests If for whatever reason you are unable to exercise, we may need to perform an alternative test at a later date. What else happens at the clinic? You will be told the results of your tests and your potential diagnosis before you leave the clinic. You may need to come back for review in the outpatients department and you may need more tests booked. A letter containing all the information will be sent to you and your doctor after your consultation. You may spend 1-2 hours at the clinic depending on which tests are needed, but you will benefit from having a complete medical assessment in one visit. If your chest pain gets worse before your clinic appointment, please call an ambulance to take you to the nearest A&E department. Contact us If you are unable to attend, please contact the Appointments office on 0203 315 6666. If you have any questions about the clinic you can contact Sue Bourne Cardiology Nurse Specialist on 0203 315 5936. As Sue works part-time please leave a message and she will return your call on her work day (Tuesday or Thursday). 3