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Abstract: . . . but may be on either side of the chest or even in the back. The pain radiates to either arm (the left arm more commonly), both arms or the neck and jaw. The pain never lasts a few seconds, and typically lingers some 5 to 10 minutes after the cause is removed. The characteristics of the pain are typically described as "vice-like", "gripping", "like a weight" or "crushing". Non-cardiac pain is commonly sharp, localised, tender and either momentary or continuous for hours. Other causes of chest pain include musculoskeletal pain, reflux oesphagitis, functional chest pain, pleurisy, pericarditis, myocardial infarction, atypical anginal syndromes (syndrome X, Prinzmetal angina ). Relief of the pain by trinitrates . . . . . . INHERITED Clinical Guideline : Summary table. Prophylaxis for patients who have experienced a myocardial infarction drug treatment, cardiac rehabilitation and dietary manipulation. April 2001 3 The IONA Study Group. Effect of nicorandil on coronary events in patients with stable angina : the Impart of Nicorandil in Angina (IONA) randomised trial. The Lancet. Vol.359. April 13, 2002. . . . . . . serve, regardless of their ethnicity. Staff will, therefore, need to have or to acquire the relevant skills, knowledge and experience to enable them to be sensitive to the cultural and religious needs of the individuals and communities that they serve. 9.25 All patients with angina must be invited to a review of their symptoms, modifiable risk factors and medication at least annually. 9.26 All of patients on the register should have a recorded treatment plan giving the information listed in Table 5. Page 5 East Kent Health Authority Clinical Effectiveness Primary Care (PRICCE) Guidelines 42 15 April 2003 Information needed for a treatment . . . . . . Clinical Excellence. INHERITED Clinical Guideline : Summary table. Prophylaxis for patients who have experienced a myocardial infarction drug treatment, cardiac rehabilitation and dietary manipulation. April 2001 3 The IONA Study Group. Effect of nicorandil on coronary events in patients with stable angina : the Impart of Nicorandil in Angina (IONA) randomised trial. The Lancet. Vol.359. April 13, 2002. . . . --3000,4,375,2687,15950
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