Unique, practical knowledge for nurses responsible for daily management of patients with cardiovascular disease, diabetes and related conditions.

NICE publishes updated guideline on chronic heart failure

NICE publishes updated guideline on chronic heart failure

Publication date: Wednesday, 10 October 2018

NICE have recently launched an updated guideline on the diagnosis and management of chronic heart failure.

The guideline includes new and updated recommendations on:

  • The role of the specialist heart failure multidisciplinary team
  • Diagnosing heart failure and giving information to people with heart failure
  • Managing all types of heart failure
  • Treating heart failure with reduced ejection fraction, including people who also have chronic kidney disease
  • Monitoring treatment for all types of heart failure
  • Interventional procedures
  • Cardiac rehabilitation and palliative care.

Some of the key point from the guideline are that:

  • GPs should test NT-proBNP in patients with symptoms and signs of heart failure and refer for specialist assessment if the level is above 400 pg/ml
  • Urgent (2 week) referral is needed if NT-proBNP is over 2000 pg/ml
  • The specialist heart failure MDT should work closely with primary care
  • Stable patient should be reviewed at least every 6 months by their primary care team
  • Triple therapy with ACE-I, BB and MRA is recommended for heart failure with reduced ejection fraction with further options such as sacubitril valsartan and ivabradine available to the specialist team
  • An exercise-based cardiac rehabilitation programme should be offered to all heart failure patients


 More information

NICE guideline (NG106) Chronic heart failure in adults: diagnosis and management https://www.nice.org.uk/guidance/ng106

NICE chronic heart failure overview https://pathways.nice.org.uk/pathways/chronic-heart-failure



BACK TO BASICS: Oral drug targets in type 2 diabetes 

Three decades of heart failure

Back to Basics: The NHS Health Check

Topics covered:
Category: Have You Heard
Edition: Volume 3, Number 10, BJPCN Online 2018

Article search and filter