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ST Depression (Cardiac Chest Pain)

Within 12 hours:

Patient with confirmed ST Depression

Immediate phone call to Cardiology Reg for review
If review to be delayed, cardiology reg to clarify
management plan including fondaparinux.

Management plan determined by Cardiology review
if accepted as cardiac patient.

Referral accepted by
Cardiology

Implement management
plan and transfer to Cardiac
bed within 48 hours

Referral not accepted by
Cardiology

Patient Pain free?

Yes

Follow No ST Depression and Pain Free pathway

No

Follow No ST Depression with ongoing chest pain pathway