Direct to an emergency department for:

  • Suspected pulmonary embolism or aortic dissection
  • Suspected acute coronary syndrome with any of the following:
    • severe or ongoing chest pain
    • chest pain lasting 10 minutes or more
    • chest pain that is new at rest, or with minimal activity
    • chest pain with any of the following:
      • severe dyspnoea
      • syncope or pre-syncope
      • respiratory rate > 30 breaths per minute
      • tachycardia > 120 beats per minute
      • systolic blood pressure < 90 mmHg
      • heart failure or suspected pulmonary oedema
      • ST segment elevation or depression
      • complete heart block 
      • new left bundle branch block.

Criteria for referral to public hospital specialist clinic services

  • New or recurrent cardiac chest pain without any current acute concerning features.

Information to be included in the referral

Information that must be provided

  • Description of relevant signs or symptoms
  • Relevant medical history and comorbidities
  • Relevant electrocardiogram (ECG) tracings
  • Current and complete medication history (including non-prescription medicines, herbs and supplements and recreational or injectable drugs).

Provide if available

  • Treatments previously tried, duration of trial and effect
  • Any family history of sudden cardiac death or cardiac disease
  • History of smoking and alcohol intake
  • Cardiovascular disease risk assessment
  • Functional status assessment
  • Any relevant x-ray, imaging or investigation results (e.g. cardiac imaging, stress test, myocardial perfusion scan, troponin test)
  • Liver function tests
  • Full blood examination results
  • Fasting lipid profile results
  • If diabetic current and previous HbA1c results
  • If the person identifies as an Aboriginal and/or Torres Strait Islander
  • If symptoms are thought to be linked to probable or confirmed SARS CoV-2 (COVID-19) infection or Long COVID.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

The referral should include if this is a request for a second opinion.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable.