G_CS_22 Diagnosis and Management of Heart Failure

The purpose of this document is to provide guidance and a pathway for the treatment of patients with heart failure. The guidance takes the form of a series of algorithms supporting the optimal pharmacological and non pharmacological management including appropriate referral pathways to specialist heart failure services.

The term Specialist Heart Failure Multidisciplinary team (HFMDT) will be used throughout the guidelines. The MDT comprises of Cardiologists, Heart Failure Complex Case Manager (HFCCM) or Heart Failure Clinical Nurse Specilist (HFCNS) and General Practitioner with a Special Interest in heart failure (GPSI).

The term Advanced Heart Failure MDT is used; this is a monthly meeting comprising of members of the Specialist Heart Failure MDT and other healthcare professionals involved in the care of heart failure patients including St Barnabas Hospice, Macmillan Specialist Nurses and Discharge Community Link Nurses; Palliative Care.

key words and sentences from the policy: hypertension, valvular heart disease, cardiomyopathy, myocarditis, arrhythmia, stable, unstable, beta blocker, heart rate, blood pressure.

  • Heart failure reduced ejection fraction / left ventricular systolic dysfunction
  • Heart failure preserved ejection fraction / diastolic dysfunction
  • valvular heart failure


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