Heart Failure: Assessment and investigations

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Heart Failure: Medical management
*      Heart Failure: Management of Decompensation
**    Echocardiogram referral form
***  Heart Failure: Diagnosis (new)

Clinical History

The following are associated with an increased risk of heart failure:-

  • Angina/myocardial infarction/ ischaemic heart disease
  • Arrhythmias
  • Hypertension
  • Diabetes
  • Valvular disease/murmur
  • Cardiomyopathy
  • Alcohol abuse
  • Medication review – check for contraindications

Clinical Examination

  • Heart rate and rhythm
  • Blood pressure
  • Raised jugular venous pressure
  • Murmur – added 3rd heart sound
  • Lung crepitations
  • Oedema
  • Ascities
  • Hepatomegaly

Glossary

Abbreviation Meaning
ECG Electrocardiogram
NTproBNP Pro B-type Natriuretic Peptide
U+Es Urea and electrolytes
LFTs Liver function tests
TFTs Thyroid function tests

Last reviewed: 07 May 2020

Next review: 30 May 2023

Author(s): Cardiovascular Improvement Group

Approved By: TAM subgroup of ADTC

Reviewer Name(s): Consultant Cardiologist and Lead Heart Failure nurse

Document Id: TAM129