Shaping better health
REMEDY : BNSSG referral pathways


Checked: 30-04-2018 by Rob.Adams Next Review: 30-04-2019

National guidelines

Patients with suspected new onset angina should be referred to one of the Rapid Access Chest Pain Services available at UHB, NBT or WGH unless MI or unstable angina is suspected (see red flags below) or there are contra-indications for these services.

Please see the Angina section in Clinical Knowledge Summaries for advice on management.

Red Flags

Consider hospital admission for people with the following symptoms, as they may have unstable angina:

  • Pain at rest (which may occur at night).
  • Pain on minimal exertion.
  • Angina that seems to be progressing rapidly despite increasing medical treatment.