Abstract
Heart failure is a progressive condition that is increasing in prevalence. Clinical findings, together with natriuretic peptide measurement and echocardiography, underpin diagnosis. Drugs can improve the prognosis (ACE-inhibitor, beta blockers) and ameliorate symptoms (diuretics). Non-pharmacological treatment includes exercise therapy, smoking cessation and nutritional care. Heart failure has a poor prognosis and early palliative input is recommended.
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References
1.American Heart Association (2017) Classes of heart failure. Available at: www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Classes-of-Heart-Failure_UCM_306328_Article.jsp (accessed 14 March 2019) .
2.
Berry
C
Kingsmore
D
Gibson
S
et al.
(2006 ) Predictive value of plasma brain natriuretic peptide for cardiac outcome after vascular surgery . Heart 92 : 401 –402 .
3.British Heart Foundation (2016) Living with heart failure. Available at: www.bhf.org.uk/publications/heart-conditions/living-with-heart-failure (accessed 31 May 2018) .
4.Civil Aviation Authority (2015) Am I fit to fly? Available at: www.caa.co.uk/Passengers/Before-you-fly/Am-I-fit-to-fly-/ (accessed 15 November 2018) .
5.Driver & Vehicle Licensing Agency (2018) Assessing fitness to drive – A guide for medical professionals. Available at: www.gov.uk/government/publications/assessing-fitness-to-drive-a-guide-for-medical-professionals (accessed 21 May 2018) .
6.ESC (2016) Acute and chronic heart failure: ESC clinical practice guidelines. Available at: www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-and-Chronic-Heart-Failure (accessed 21 May 2018) .
7.
MacMurray
J
Cohen-Solal
A
Dietz
R
et al.
(2005 ) Practical recommendations for the use of ACE inhibitors, beta blockers, aldosterone antagonists and angiotensin receptor blockers in heart failure: Putting guidelines into practice . European Journal of Heart Failure 7 (5 ): 710 –721 . DOI: 10.1016/j.ejheart.2005.07.002 .
8.
Madhok
V
Falk
G
Rogers
A
et al.
(2008 ) The accuracy of symptoms, signs and diagnostic tests in the diagnosis of left ventricular dysfunction in primary care: A diagnostic accuracy systematic review . BMC Family Practice 9 : 6 DOI: 10.1186/1471-2296-9-56 .
9.NHS Choices (2016) Heart failure. Available at: www.nhs.uk/conditions/heart-failure/ (accessed 31 May 2018) .
10.NICE (2010) Chronic heart failure in adults: Management (NICE Guideline 108). Available at: www.nice.org.uk/guidance/cg108 (accessed 21 May 2018) .
11.NICE (2016) Sacubitril valsartan for treating symptomatic chronic heart failure with reduced ejection fraction (Technology Appraisal Guidance TA 388). Available at: www.nice.org.uk/guidance/ta388 (accessed 03 October 2018) .
12.NICE (2017) Clinical Knowledge Summary: Heart failure – Chronic. Available at: https://cks.nice.org.uk/heart-failure-chronic (accessed 21 May 2018) .
13.RCGP. Clinical module 3.12: Cardiovascular health. Available at: www.rcgp.org.uk/training-exams/training/gp-curriculum-overview/online-curriculum/applying-clinical-knowledge-section-1/3-12-cardiovascular-health.aspx (accessed 31 May 2018) .
14.SIGN (2016) Management of chronic heart failure. Available at www.sign.ac.uk/sign-147-management-of-chronic-heart-failure.html (accessed 21 May 2018) .
15.SIGN (2017) Cardiac rehabilitation. Available at: www.sign.ac.uk/sign-150-cardiac-rehabilitation.html (accessed 21 May 2018) .
16.
Smith
D
Toff
W
Joy
M
et al.
(2010 ) Fitness to fly for passengers with cardiovascular disease . Heart 96 : ii1 –ii16 . DOI: 10.1136/hrt.2010.203091 .
17.
Taylor
RS
Sagar
VA
Davies
EJ
et al.
(2014 ) Exercise-based rehabilitation for heart failure . Cochrane Database of Systematic Reviews 4 . : art. no.: CD003331. DOI: 10.1002/14651858.CD003331.pub4 .
