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Excerpt
This guideline covers diagnosing and managing chronic heart failure in people aged 18 and over. It aims to improve diagnosis and treatment to increase the length and quality of life for people with heart failure.
Contents
- Guideline committee members
- NGC technical team members
- Co-optees
- Peer reviewers
- Acknowledgements
- 1. Guideline summary
- 2. Introduction
- 3. Development of the guideline
- 4. Methods
- 5. Diagnosing heart failure
- 5.1. BNP and NT-proBNP in diagnosing heart failure
- 5.2. BNP and NT-proBNP in diagnosing heart failure in people with atrial fibrillation
- 5.3. BNP and NT-proBNP in diagnosing heart failure in people with chronic kidney disease
- 5.4. Recommendations for diagnosing heart failure
- 5.5. Cardiac Magnetic Resonance Imaging (cMRI)
- 6. Treating Heart Failure
- 7. Rehabilitation in chronic heart failure
- 8. Monitoring
- 8.1. Monitoring using repeated biomarker measurement or imaging for management of chronic heart failure
- 8.2. Monitoring using repeated biomarker measurement or imaging for management of chronic heart failure in people who also have chronic kidney disease
- 8.3. Monitoring using repeated biomarker measurement or imaging for management of chronic heart failure in people who also have atrial fibrillation
- 8.4. Telemonitoring and self-monitoring
- 8.5. Recommendations for monitoring heart failure
- 9. Referral and approach to care
- 10. Advanced heart failure and palliative care
- 11. Reference list
- 12. Acronyms and abbreviations
- 13. Glossary
- Appendices
- Appendix A. Clinical review protocols
- Appendix B. Health economic review protocol
- Appendix C. Clinical study selection
- Appendix D. Health economic study selection
- Appendix E. Forest plots
- Appendix F. Clinical evidence tables
- Appendix G. Health economic evidence tables
- Appendix H. GRADE tables
- Appendix I. Excluded clinical studies
- Appendix J. Excluded health economic studies
- Appendix K. Unit costs
- Appendix L. Scope
- Appendix M. Declarations of interest
- Appendix N. Literature search strategies
- Appendix O. Cost-effectiveness analysis: Thresholds model
- Appendix P. Research recommendations
- Appendix Q. NICE technical team
- Appendix R. Previous NICE chronic heart failure guidelines
- Appendix S. References
Final
Developed by the National Guideline Centre, hosted by the Royal College of Physicians
Disclaimer: The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and, where appropriate, their carer or guardian.
Local commissioners and providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
NICE guidelines cover health and care in England. Decisions on how they apply in other UK countries are made by ministers in the Welsh Government, Scottish Government, and Northern Ireland Executive. All NICE guidance is subject to regular review and may be updated or withdrawn.
- Review [The German National Disease Management Guideline "Chronic Heart Failure"].[Dtsch Med Wochenschr. 2012]Review [The German National Disease Management Guideline "Chronic Heart Failure"].Weinbrenner S, Langer T, Scherer M, Störk S, Ertl G, Muth Ch, Hoppe UC, Kopp I, Ollenschläger G, Expertenkreis NVL Chronische Herzinsuffizienz des ÄZQ.. Dtsch Med Wochenschr. 2012 Feb; 137(5):219-27. Epub 2012 Jan 25.
- Review Parkinson’s disease in adults: diagnosis and management[ 2017]Review Parkinson’s disease in adults: diagnosis and managementNational Institute for Health and Care Excellence (UK). 2017 Jul
- Review Acute Heart Failure: Diagnosing and Managing Acute Heart Failure in Adults[ 2014]Review Acute Heart Failure: Diagnosing and Managing Acute Heart Failure in AdultsNational Clinical Guideline Centre (UK). 2014 Oct
- Review Structured telephone support or non-invasive telemonitoring for patients with heart failure.[Cochrane Database Syst Rev. 2015]Review Structured telephone support or non-invasive telemonitoring for patients with heart failure.Inglis SC, Clark RA, Dierckx R, Prieto-Merino D, Cleland JG. Cochrane Database Syst Rev. 2015 Oct 31; (10):CD007228. Epub 2015 Oct 31.
- Clinical practice guideline: Allergic rhinitis.[Otolaryngol Head Neck Surg. 2015]Clinical practice guideline: Allergic rhinitis.Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, Dawson DE, Dykewicz MS, Hackell JM, Han JK, et al. Otolaryngol Head Neck Surg. 2015 Feb; 152(1 Suppl):S1-43.
- Chronic Heart Failure in AdultsChronic Heart Failure in Adults
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