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Updated NICE QS on stable angina

Updated NICE QS on stable angina

Publication date: Friday, 19 May 2017
Contributor(s): Jeremy Bray

The NICE Quality Standard (QS) on the diagnosis and management of stable angina has been updated to reflect changes to the NICE guideline on chest pain of recent onset.

Statement 1 of the QS was changed to encourage people with features of typical or atypical angina to be offered 64-slice CT coronary angiography to confirm any diagnosis.

The aim of the updated QS is to describe markers of high-quality, cost-effective care that should contribute to improving the effectiveness, safety and experience of care for people with stable angina by:

  • Preventing people from dying prematurely
  • Enhancing quality of life for people with long-term conditions
  • Helping people to recover from episodes of ill health or following injury
  • Ensuring that people have a positive experience of care
  • Treating and caring for people in a safe environment and protecting them from avoidable harm.
  • Statement 1. People with features of typical or atypical angina are offered 64-slice (or above) CT coronary angiography.
  • Statement 2. People with stable angina are offered a short-acting nitrate and either a beta-blocker or calcium-channel blocker as first-line treatment.
  • Statement 3. People with stable angina are prescribed a short-acting nitrate and 1 or 2 anti-anginal drugs as necessary before revascularisation is considered.
  • Statement 4. People with stable angina who have had coronary angiography, have their treatment options discussed by a multidisciplinary team if there is left main stem disease, anatomically complex three-vessel disease or doubt about the best method of revascularisation.
  • Statement 5. People with stable angina whose symptoms have not responded to treatment are offered re-evaluation of their diagnosis and treatment.

Table: List of quality standards for QS 21 on stable angina.

More information

NICE QS 21: Stable angina
www.nice.org.uk/guidance/qs21/chapter/introduction-and-overview

Topics covered:
Category: Have You Heard
Edition: Volume 2 Number 4 PCCJ Online 2017
Contributor(s): Jeremy Bray

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