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Heart Podcast

Rapid access chest pain clinics - what's the evidence?

Mar 11, 2025
Andrew Black, an interventional cardiologist from Royal Hobart Hospital and a researcher at the Menzies Institute, dives into the world of rapid access chest pain clinics. He discusses the critical importance of timely assessments and how these clinics can streamline patient care. The conversation highlights varying global practices and emphasizes the need for updated evidence to validate their effectiveness. With a focus on nurse-led models showing promising results, this discussion sheds light on the future of chest pain management.
15:10

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Quick takeaways

  • Rapid access chest pain clinics efficiently manage patients with chest pain, improving outcomes while minimizing waiting times and healthcare costs.
  • Despite showing low rates of adverse events and cost-effectiveness, further rigorous research is needed to strengthen the evidence for RACPACs.

Deep dives

Importance of Rapid Access Chest Pain Clinics

Rapid access chest pain clinics (RACPAC) play a critical role in effectively managing patients who present with chest pain. These clinics were developed to quickly assess and differentiate between benign causes of chest pain and those requiring urgent medical intervention. Their structure allows for rapid evaluation and facilitated discharge of patients who are low risk, minimizing waiting times for new patients. This efficiency helps ensure that serious cardiac conditions are addressed promptly, ultimately improving patient outcomes and healthcare resource utilization.

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