Bush docs best stick to basics with chest pain

Bush doctors can dispense with biomarker tests and rely on their clinical skills and an abnormal ECG to diagnose coronary disease, a study from Far North Queensland has shown.

The presence of typical chest pain and an abnormal ECG remain the cornerstone of predicting a diagnosis of coronary heart disease in remote primary care settings, according to Cairns clinicians.

In a ‘real world’ study of 163 patients with no prior history of CHD referred to a chest pain clinic, the only