Heart Failure: UCLH


Care for patients with suspected heart failure (HF). If your patient has a confirmed diagnosis of HF, consider a referral to the Community Heart Failure service.

Eligibility Criteria


  • Patients referred to the HF clinic should have symptoms or signs of heart failure and a NT pro BNP >400ng/l
  • Patients with NT pro BNP>2000ng/l should be marked as urgent
  • If a patient is known to be in atrial fibrillation (AF), the NT pro BNP will often be raised and the GP may wish to consider doing an echocardiogram prior to referring to clinic in these situations.

How to Refer


Referral methods: e-Referrals

Routine referrals

Via CHI RSS through 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 echocardiogram 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.

Urgent referrals

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

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Review date: Thursday, 24 August 2023