November 2016: New recommendations have been added for the assessment and diagnosis of acute chest pain and the assessment and diagnosis of stable chest pain.
These are marked as .
Where recommendations end , the evidence has not been reviewed since the original guideline.
some 2010 recommendations have been updated to align with the 2016 recommendations
some recommendations have been updated to clarify the use of high-sensitivity troponin testing
some recommendations have been updated to remove reference to estimate of the likelihood of coronary artery disease
reference to autopsy as a diagnostic criterion has been removed.
These recommendations are marked [2010, amended 2016].
Minor changes since publication
November 2020: We linked to the updated guideline on acute coronary syndromes.
August 2020: We linked to updated diagnostics guidance in recommendations on use of biochemical markers for diagnosis (section 1.2.5).
January 2020: The title of the guideline was updated to clarify that it covers chest pain of suspected cardiac origin. We linked to the universal definition of myocardial infarction in recommendation 184.108.40.206 and added a cross-reference to related NICE medical technologies guidance at the end of section 1.3.4.