Date __________ / Dr __________

1. Name DoB Hosp # RACPC: Clinical Assessment Date __________ / Dr __________ History Classify the pain Drug History TYPICAL ANGINA ATYPICAL ANGINA NON ANGINAL Typical features of angina Constricting pain of chest / jaws / arm Precipitated by physical exertion Relieved by rest / GTN spray NICE classification of angina Typical angina has all three factors Atypical angina has two features Non-anginal chest pain has none Bloods Non-anginal features Pain very prolonged Unrelated to activity Related to respoiration Related to dizziness Related to palpitations Related to tingling Related to meals ECG Is the patient low or high risk? Examination Smoking Lipids Diabetic BMI FH HTN Cholesterol HDL LDL TG Glu / A1C Important aspects to cover Signs of cardiovascular disease Signs of cardiac risk factors Exclude aortic stenosis Exclude cardiomyopathy clinically Exclude non cardiac chest pain HR BP SaO2 RR HIGH RISK LOW RISK

2. Name DoB Hosp # RACPC: Diagnostic Testing Date __________ / Dr __________ Percentage of people estimated to have coronary artery diseas, based on gender / age / risk profile Low risk patients have none of smoking, diabetes and high cholesterol as risk factors Resting Q waves increase risk NICE Risk Stratification LOW RISK ESTIMATED RISK MEDIUM RISK HIGH RISK ____% Impression Plan Sign _________ Bleep _____