OK, low risk chest pain in the GP clinic setting. It can be a vexing issue – we always worry about the big, bad diseases we might be missing – but is there a risk (and logistical headache) in doing a thorough workup and serial enzymes / Troponins on all chest pains?
It kinda depends where you practice as to how you will play this one.
Here is a discussion with a few super Smart GP registrars all over the country.
click HERE to listen to the 35 minute brain storm on the topic.
My bottom line – you need to define your background / pre-test probability of badness before embarking on investigation pathways that can lead to invasive, expensive and unpleasant tests in low risk patients.
Enjoy and comment on this is very welcome – there is certainly no right answer here!