In this current study the only significant correlation between time of admission and management was the use of the repeat ECG. Results show that patients admitted during the day were less likely to receive a repeat ECG than those admitted overnight (P = 0.032). It is possible that due to a larger number of general attendees to the emergency department during normal working hours, there is an increased demand for routine ECGs, and therefore admissions with chest pain were not monitored as often as they should be. However, it is also possible that repeat ECGs were performed, but were not recorded or filed within the medical record. Regardless, this would seem to imply that perhaps additional staffing is required during busy periods.