Abstract
By April next year the National Health Service in the UK is to have 139 new or upgraded rapid-access clinics for the assessment of chest pain.1 Their purpose will be to diagnose or exclude coronary artery disease rapidly. This process should facilitate early treatment for some and allay worry and anxiety for the remaining (majority) of patients. The diagnostic algorithm will presumably include some type of clinical risk assessment, followed by exercise testing for a proportion of the patients. Since patients with unremitting chest pain are advised to seek care in hospital emergency rooms, and others will have symptoms that have resolved days or even weeks before they see a doctor, patients referred to these rapid-access clinics will probably be at fairly low risk of acute coronary syndromes.
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