{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:52:17Z","timestamp":1773280337628,"version":"3.50.1"},"reference-count":21,"publisher":"BMJ","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Heart"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p>\n                  <jats:bold>Objective:<\/jats:bold> To conduct a one year follow up study of patients seen in a combined rapid access chest pain, arrhythmia and heart failure clinic.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Methods:<\/jats:bold> Local general practitioners, accident and emergency department clinicians and other hospital clinicians were invited to refer patients with a new presentation of chest pain, palpitations and suspected cardiac-induced breathlessness to the rapid access cardiology clinics at Charing Cross Hospital, London, on a one-stop, no appointment basis. Consent to be followed up by a postal questionnaire one year later was sought from all patients attending between 1 November 2002 and 31 October 2003.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results:<\/jats:bold> 1223 patients were seen in the 12 month study period. 940 (77%) consented to one year follow up. 216 (23%) patients had a diagnosis of definite cardiac, 621 (66%) of not cardiac and 103 of possible cardiac disease (11%). 98% of patients diagnosed \u201cnot cardiac\u201d did not receive a diagnosis of cardiac disease over the following 12 months. Of patients with diagnosed definite cardiac disease, one year cardiac mortality was 7 of 216 (3%), compared with an age- and sex-matched expected cardiac mortality of 0.9% (standardised mortality ratio 3.5, 95% confidence interval (CI) 1.4 to 7.2). For patients with an initial diagnosis of possible or not cardiac disease, cardiac mortality at one year was 0.3% compared with an expected cardiac mortality of 0.4% (standardised mortality ratio 0.8, 95% CI 0.1 to 2.8).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusions:<\/jats:bold> A rapid access cardiology clinic accurately diagnoses and risk stratifies patients into those with cardiac disease at high risk of cardiac death and those without significant cardiac disease.<\/jats:p>","DOI":"10.1136\/hrt.2005.079376","type":"journal-article","created":{"date-parts":[[2005,12,30]],"date-time":"2005-12-30T20:14:24Z","timestamp":1135973664000},"page":"1084-1090","source":"Crossref","is-referenced-by-count":29,"title":["A rapid access cardiology service for chest pain, heart failure and arrhythmias accurately diagnoses cardiac disease and identifies patients at high risk: a prospective cohort study"],"prefix":"10.1136","volume":"92","author":[{"given":"J N","family":"Tenkorang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K F","family":"Fox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T J","family":"Collier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D A","family":"Wood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2005,12,30]]},"reference":[{"key":"2025092005441255000_92.8.1084.1","unstructured":"Department of Health. The National Service Framework for coronary heart disease. London: Department of Health, 2000."},{"key":"2025092005441255000_92.8.1084.2","first-page":"i21","volume":"85","year":"2002","journal-title":"Heart"},{"key":"2025092005441255000_92.8.1084.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-9842(00)00108-2"},{"key":"2025092005441255000_92.8.1084.4","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.5.505"},{"key":"2025092005441255000_92.8.1084.5","unstructured":"National Institute for Health and Clinical Excellence. Chronic heart failure: national clinical guideline for diagnosis and management in primary and secondary care. NICE guideline no 5. London: Royal College of Physicians, 2003, http:\/\/www.nice.org.uk\/pdf\/Full_HF_Guideline.pdf (accessed 1 Feb 2006)."},{"key":"2025092005441255000_92.8.1084.6","first-page":"401","volume":"31","year":"1997","journal-title":"J R Coll Physicians Lond"},{"key":"2025092005441255000_92.8.1084.7","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.73.2.193"},{"key":"2025092005441255000_92.8.1084.8","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/94.12.679"},{"key":"2025092005441255000_92.8.1084.9","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/j.1742-1241.2002.tb11185.x","volume":"56","year":"2002","journal-title":"Int J Clin Pract"},{"key":"2025092005441255000_92.8.1084.10","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/91.5.333"},{"key":"2025092005441255000_92.8.1084.11","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.78.915.43"},{"key":"2025092005441255000_92.8.1084.12","first-page":"139","volume":"90","year":"1997","journal-title":"Irish Med J"},{"key":"2025092005441255000_92.8.1084.13","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/91.5.339"},{"key":"2025092005441255000_92.8.1084.14","doi-asserted-by":"publisher","DOI":"10.1159\/000085227"},{"key":"2025092005441255000_92.8.1084.15","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/94.4.177"},{"key":"2025092005441255000_92.8.1084.16","doi-asserted-by":"crossref","first-page":"324","DOI":"10.12968\/hosp.2003.64.6.324","volume":"64","year":"2003","journal-title":"Hosp Med"},{"key":"2025092005441255000_92.8.1084.17","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2001.2783"},{"key":"2025092005441255000_92.8.1084.18","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1093\/oxfordjournals.eurheartj.a015259","volume":"18","year":"1997","journal-title":"Eur Heart J"},{"key":"2025092005441255000_92.8.1084.19","unstructured":"Office For National Statistics. Table 2.9. Deaths: underlying cause, sex and age-group, 2003, Chapter IX. Diseases of the circulatory system. In: Mortality statistics: review of the Registrar General on deaths by cause, sex and age, in England and Wales, 2003 Series DH2, no 30. London: Office For National Statistics, 2004: 90\u2013107. (http:\/\/www.statistics.gov.uk\/downloads\/theme_health\/Dh2_30\/DH2No30.pdf (accessed 1 Feb 2006)."},{"key":"2025092005441255000_92.8.1084.20","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520420066040"},{"key":"2025092005441255000_92.8.1084.21","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000166053.83476.4a"}],"container-title":["Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/hrt.2005.079376","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T12:44:18Z","timestamp":1758372258000},"score":1,"resource":{"primary":{"URL":"https:\/\/heart.bmj.com\/lookup\/doi\/10.1136\/hrt.2005.079376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,12,30]]},"references-count":21,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2006,7,14]]},"published-print":{"date-parts":[[2006,8]]}},"alternative-id":["10.1136\/hrt.2005.079376"],"URL":"https:\/\/doi.org\/10.1136\/hrt.2005.079376","relation":{},"ISSN":["1355-6037","1468-201X"],"issn-type":[{"value":"1355-6037","type":"print"},{"value":"1468-201X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,12,30]]}}}