Frimley Guidelines

Telemetry Chest Pain
Telemetry Guidance for inpatients presenting with chest pain/arrhythmia

Key Points

  • Telemetry NOT required for stable patients with fast atrial fibrillation on a background of known atrial fibrillation

  • Telemetry NOT required for patients with a new diagnosis of AF in the context of infection UNLESS they are known to have structural heart disease or haemodynamic instability

  • Telemetry is NOT required for patients presenting with Troponin positive chest pain in the absence of ECG ischaemia or ventricular dysrhythmia

This is a controlled document. If you are using a printed copy, check it against the guidelines site to ensure you are using the latest edition. Print copies must be destroyed after use.

Abbreviations

ASAortic Stenosis
HOCMHypertrophic Cardiomyopathy
VEVentricular Ectopy

Chest Pain

Arrhythmia

Full version control record

Version:2.0
Guidelines Lead(s):Dr Jo Shannon, Consultant Cardiologist
Contributor(s):
Lead Director / Chief of Service:Dr Sitara Khan
Library check completed:03/04/2024
Ratified at:Departmental Consultant Meeting 30/04/2024
Date Issued:10/05/2024
Review Date:10/05/2027
Pharmaceutical dosing advice and formulary compliance checked by:NA
Key words:Telemetry, monitoring, monitored bed

This guideline has been registered with the Trust. However, clinical guidelines are guidelines only. The interpretation and application of clinical guidelines will remain the responsibility of the individual clinician. If in doubt, contact a senior colleague or expert. Caution is advised when using guidelines after the review date.

This guideline is for use in Frimley Health NHS Foundation Trust hospitals only. Any use outside this location will not be supported by the Trust and will be at the risk of the individual using it.

Version History

VersionDateGuideline Lead(s)StatusComment
205/2024Dr Jo ShannonFinal

Related Documents

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