To provide services to patients who present to the Accident & Emergency Department with chest pain and diagnostic dilemma for a critical event such as Acute Coronary Syndrome.

The patient presenting in Emergency with acute chest pain will be initially assessed by the Emergency Physician, who will assess

• Existence of Co-morbid conditions requiring admission
• Existence of ischemic changes on ECG
• Known ischemic heart disease or pain highly suggestive to cardiac in origin
• Suspected or proven alternative diagnosis
• Patient choice for admission to inpatient area

Two beds will be marked in the Accident & Emergency Department for chest pain observation.

The duration of patient stay will be 6 hours and during this time they will be investigated according to protocols which will include intensive ECG monitoring and Cardiac Enzyme Testing