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National Collaborating Centre for Chronic Conditions (UK). Chronic Heart Failure: National Clinical Guideline for Diagnosis and Management in Primary and Secondary Care. London: Royal College of Physicians (UK); 2003. (NICE Clinical Guidelines, No. 5.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

15Areas for future research

Updated in August 2010

The Guideline Development Group recognise that there is a huge amount of ongoing research activity in many aspects of the management of heart failure. Several key studies of drug therapy and other interventions are due to report in the near future, and these will undoubtedly influence the recommendations made in future versions of this guideline. However, the Guideline Development Group wish to draw attention to several specific areas that would benefit from further research. Heart failure trials have not generally recruited typical heart failure patients or conducted health economic evaluations. This would usefully add to the evidence base for future recommendations.

Table 13Areas for future research

Guideline sectionPageResearch recommendation
6 Diagnosis – symptoms, signs and non-cardiac investigation25Validity and repeatability of signs, symptoms and tests for heart failure diagnosis.
6 Diagnosis – diastolic heart failure27Confirming a diagnosis of ‘diastolic’ heart failure.
7.1 Treating heart failure – lifestyle32The benefits of rehabilitation for patients with heart failure.
7.1 Treating heart failure – lifestyle32The optimum lifestyle advice on diet and nutrition. The benefits of interventions aimed at improving diet and nutrition.
7.2 Treating heart failure – pharmacological therapy36The benefits of pharmacological treatments specific to non-Caucasian patients with heart failure.
7.5 Treating heart failure – oxygen therapy59The benefits of domiciliary oxygen for patients with heart failure. The benefits of continuous positive airways pressure for patients with heart failure.
7 Treating heart failure – adherence to therapy52The optimum method to improve adherence to therapy.
9.4 Care pathways69The benefits of a care pathway approach for patients with heart failure.
10.2 Prognosis73The optimum method of estimating prognosis for patients with heart failure.
11 Anxiety and depression75The treatment of mental health problems arising co-morbidly with chronic heart failure.
12 End of life77The optimum method of meeting the palliative care needs of patients with heart failure.
GeneralThe psychological effects of treatment on patients with heart failure (including interventions such as implantable defibrillators).
Copyright © 2003, Royal College of Physicians of London.
Cover of Chronic Heart Failure
Chronic Heart Failure: National Clinical Guideline for Diagnosis and Management in Primary and Secondary Care.
NICE Clinical Guidelines, No. 5.
National Collaborating Centre for Chronic Conditions (UK).

NICE (National Institute for Health and Care Excellence)

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