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Troponin-negative chest pain presentations are often sent home without a timely work up or prompt imaging tests like a CT angiogram. A delay can be critical. As clinicians, we must identify which patients need further testing urgently. Where clinical suspicion is high, irrespective of troponin rise doctors and health commissioners should prioritise resources, so that an accurate diagnosis can to be made. Lives literally depend on a prompt anatomic test being done in time. Until this has been made available nationally, patients experiencing unexplained chest symptoms who have not had clinical follow up and diagnosis confirmed are advised to 'vote with their feet'- either head back into hospital in event of further symptoms, or even consider arranging to fund their own urgent CT angiogram from an independent medical provider.
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Troponin-negative chest pain presentations are often sent home without a timely work up or prompt imaging tests like a CT angiogram. A delay can be critical. As clinicians, we must identify which patients need further testing urgently. Where clinical suspicion is high, irrespective of troponin rise doctors and health commissioners should prioritise resources, so that an accurate diagnosis can to be made. Lives literally depend on a prompt anatomic test being done in time. Until this has been made available nationally, patients experiencing unexplained chest symptoms who have not had clinical follow up and diagnosis confirmed are advised to 'vote with their feet'- either head back into hospital in event of further symptoms, or even consider arranging to fund their own urgent CT angiogram from an independent medical provider.
The Naked Heart is a weekly series of blogs and social media publications from English cardiologist Dr Edward Leatham. His brief is to apply 50 years of breathing and practicing medicine to the series as part of a move from cardiologist and physician to educator.
The podcast publications that accompany each blog are AI constructs designed to broaden my audience and make quite complicated yet important knowledge more accessible.
The blog articles release each week provide additional information for readers https://www.scvc.co.uk/category/naked-heart/
Podcasts until Jan 2026 are located at https://Nakedheart.podbean.com
Podcasts after Jan 2026 are located at https://feeds.transistor.fm/the-naked-heart