All admissions to the emergency department of Tauranga Hospital between 01/09/10 and 31/10/10 were screened for the presenting complaint of ‘chest pain’ using the medical records database. Patients were included if they had either ongoing chest pain, or recent chest pain (< 12 hours) which was now resolved. Those under the age of 18 were excluded, as were presentations which were known to be non-cardiac at an early stage and therefore not managed on an appropriate pathway for audit.