Evidence base: Heart failure

A summary of the clinical trials, guidelines and online resources to help in the management of heart failure.

Cardiomyopathy may be a cause of heart failure (Photograph: SPL)
Cardiomyopathy may be a cause of heart failure (Photograph: SPL)
 

Clinical trials

  • De Giulia F, Khawb KT, Cowie MR et al. Incidence and outcome of persons with a clinical diagnosis of heart failure in a general practice population of 696,884 in the United Kingdom. Eur J Heart Fail 2005; 7(3): 295-302. See the diagnostic algorithm in section 4.4, page 70.

This large population-based study of a UK GP practice population of about 700,000 assessed the incidence and outcome of HF based on clinical diagnosis by GPs. It showed that identification of HF by GPs is comparable to diagnosis by cardiologists using diagnostic criteria.

Guidelines

  • NICE. Clinical Guideline. Chronic heart failure: management of chronic heart failure in adults in primary and secondary care. NICE, London, 2010.
  • Dickstein K, Cohen-Solal A, Filippatos G et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Eur J Heart Fail 2008; 10(10): 933-89.

Information on all aspects of aetiopathogenesis, classification, diagnosis and management of HF.

  • Hunt SA, Abraham WT, Chin MH et al. ACC AHA Guidelines. 2009. Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults. J Am Coll Cardiol 2009; 53(15): e1-e90.
  • SIGN. Management of chronic heart failure, Scottish Intercollegiate Guidelines Network. SIGN, 2007.

Online

Contributed by Dr Rajiv Sankaranarayanan, a cardiology specialty registrar in electrophysiology, North West Deanery, and British Heart Foundation Clinical Research Fellow


 


Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

In charts: How GP at Hand pulled in 32,000 new patients in 12 months

In charts: How GP at Hand pulled in 32,000 new patients in 12 months

In the year since GP at Hand opened its doors to patients across most of London,...

Hancock 'open' to law reform to stop genuine mistakes landing doctors in prison

Hancock 'open' to law reform to stop genuine mistakes landing doctors in prison

Health and social care secretary Matt Hancock has suggested he is 'open' to a potential...

Medical schools lose 200 students a year amid money and mental health pressure

Medical schools lose 200 students a year amid money and mental health pressure

More than 200 potential doctors quit medical school every year, according to a report...

Former GPonline columnist's book reveals personal cost of being a frontline GP

Former GPonline columnist's book reveals personal cost of being a frontline GP

Former GP magazine and GPonline columnist Dr Liam Farrell has published his first...

Capita plans GP list-cleaning drive to tackle 3.1m 'ghost' patients

Capita plans GP list-cleaning drive to tackle 3.1m 'ghost' patients

GPs have warned that legitimate patients must not be denied access to primary care,...

NHS long-term plan 'must reverse smoking cessation cuts'

NHS long-term plan 'must reverse smoking cessation cuts'

Smoking cessation should be available to all patients under NHS England's long-term...