Rapid Access Chest Pain Clinic referrals


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For referral, please contact the 2 Week Wait bureau at the Oxford University Hospitals.

  • Tel: 01865 231407
  • Fax: 01865 231407

A recent ECG must accompany all referrals.

If you wish to discuss your referral, or are unsure as to whether the patient is appropriate for referral to the Rapid Access Chest Pain Service, please contact either:

  • Jan Keenan, Nurse Consultant, Cardiac Medicine
    Tel: 01865 741166 Bleep 1128
  • Dr Jeremy Dwight, Consultant Cardiologist
    Tel: 01865 741166 Bleep 1486
  • Dr Ian Arnold, Consultant Cardiologist
    Tel: 01295 275500 Bleep 415

The Rapid Access Chest Pain Clinic was set up to identify patients with cardiac symptoms, initiate appropriate treatment and investigation plans and identify those who merit 'fast track' management.

Clinics run every week as follows:

  • Monday, Tuesday and Wednesday Morning and Thursday Afternoon in Oxford
  • Tuesday and Thursday morning in Banbury.

The Rapid Access Chest Pain Clinic is a 'one-stop' clinic in which the patient is assessed and examined if necessary by either a Nurse Consultant or Senior Cardiac Physiologist. A named Consultant Cardiologist has designated responsibility for the patient in the clinic.

An exercise tolerance test is an integral part of the assessment of the patient.

If necessary, a follow-up appointment will be made for attendance at a Consultant clinic, or referral for further investigations may be made at the time of the appointment.

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Indications for referral

  • Patients with new onset chest pain suspected to be cardiac in origin.
  • Patients with known ischaemic heart disease who have developed new onset or worsening symptoms, who have not been seen previously by a cardiologist.

Please do not refer

  • Patients with cardiac chest pain at rest. These patients should be referred to the Emergency Department.
  • Patients with known or suspected valve disease.
  • Patients with non-cardiac chest pain.
  • Patients with uncontrolled hypertension (Systolic > 180mmHg, Diastolic > 110mmHg).
  • Patients with history of uncontrolled arrhythmias or palpitations.
  • Patients with a single episode of chest pain who have a normal ECG.
  • Patients with left bundle branch block. These patients should be referred to Cardiology Outpatients.

Referral form

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