Heart Failure: RF

CamdenBarnet
Under Review — this page was due to be reviewed by Wednesday, 01 December 2021. The information shown here may be outdated.

Care for patients with suspected heart failure and are undiagnosed. 

For patients already confirmed with Heart Failure with worsening symptoms please consider a referral to the Community Heart Failure service instead.

See Downloads for information on the change in reporting units from pmol/L to ng/L.


How to Refer

Letter

Referral methods: e-Referrals

Routine referrals

Via e-Referrals: use this if NT-pro-BNP 400-2000 pg/ml. Patients should be seen within six weeks: GPs are encouraged to organise an Echo at the receiving trust in the interim and update other tests which you feel are appropriate and may include ECG, CXR, urine dip and bloods for FBC, U&E, LFT, HbA1c, TFT and lipids.

An ECG, Echocardiogram and bloods will be repeated during the HF clinic appointment (may take up to 3hours).

Urgent referrals

Via e-Referrals directly to the hospital cardiology/heart failure service: use this if NT-pro-BNP>2000 pg/ml or there is a history of IHD and symptoms suggesting HF such as dyspnoea, fluid retention, fatigue.​ 

An ECG, Echocardiogram and bloods will be repeated during the HF clinic appointment (may take up to 3hours).


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Urgent & Emergency Care for Adults

Urgent & Emergency Care for Children


Review date: Wednesday, 01 December 2021