Update information

Update information

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:

  • [new 2016] if the evidence has been reviewed and the recommendation has been added or updated

  • [2016] if the evidence has been reviewed but no change has been made to the recommended action.

Where recommendations end [2010], the evidence has not been reviewed since the original guideline.

Recommendations that have been changed

We have also made some changes without an evidence review:

  • 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

January 2020: The title of the guideline was updated to clarify that it covers chest pain of suspected cardiac origin. A footnote to recommendation 1.2.6.1 was changed to update a link to the universal definition of myocardial infarction, and a cross-reference to related NICE medical technologies guidance was added at the end of section 1.3.4.

ISBN: 978-1-4731-2182-9

  • National Institute for Health and Care Excellence (NICE)