Heart Failure: UCLH

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Under Review — this page was due to be reviewed by 17/08/2021. The information shown here may be outdated.

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

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


How to refer

The following clinicians can refer to this service: GPs

Letter

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 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.

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.‚Äč