Abstract: . . .  on physical examination (looking for reversible causes for angina ) k. Working diagnosis l. Key investigations for stable angina : i. full blood count ii. urinalysis iii. any other relevant tests (e.g. thyroid studies). iv. Aetiological investigations: 1. haemoglobin 2. 12 lead resting ECG (to exclude hypertrophic cardiomyopathy and identify signs of myocardial damage). v. Estimation of risk: 1. Plasma glucose 2. Serum cholesterol 3. Assessment of severity of myocardial ischaemia (e.g., exercise ECG, thallium scan) Table 3 9.7 Criteria for immediate referral includes patients with unstable/rapidly progressing symptoms. Table 4 lists criteria for non-urgent referral. 9.8 Criteria for non-urgent referral of angina patients: a. Patients with angina secondary to a remediable cause b. Patients with unacceptable symptoms despite adequate therapy c. Patients in whom the diagnosis is in doubt d. Patients for whom the diagnosis affects their livelihood e . Ideally all patients with newly diagnosed angina should be assessed to determine the severity of their myocardial ischaemia and any subsequent potential for revascularisation procedures (a local protocol will have to be developed by the Heart Forum to determine local procedures)  . . .
. . .  June 1994. Quality in General Practice. The Goals for Practice 2000. South Essex Health Authority. November 1996. Effective Health Care. Management of Stable Angina . October 1997 Vol 3. No5. Department of Health - National Service Framework - Coronary Heart Disease, chapter 4- Stable Angina . 1 National Institute for 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.  . . .
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