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Heart failure guideline update: a guide for general practice

Harris et al present a guideline update for heart failure management in general practice. Heart failure (HF) is a clinical syndrome caused by a structural or functional cardiac abnormality and results in reduced cardiac output or elevated intracardiac pressures. It affects approximately 900 000 pati...

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Bibliographic Details
Published in:British journal of general practice 2019-06, Vol.69 (683), p.313-314
Main Authors: Harris, Hannah, Bromage, Daniel I, Dancy, Luke, O'Gallagher, Kevin, Nabeebaccus, Adam, Sargent, Arabella, Sado, Daniel
Format: Article
Language:English
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Summary:Harris et al present a guideline update for heart failure management in general practice. Heart failure (HF) is a clinical syndrome caused by a structural or functional cardiac abnormality and results in reduced cardiac output or elevated intracardiac pressures. It affects approximately 900 000 patients in the UK. Previously, HF was divided into those patients with left ventricular (LV) systolic impairment on transthoracic echocardiography (TTE) and those with preserved ejection fraction. The updated ESC, but not AHA or NICE, guidelines, introduce a new notion of HF with mid-range ejection fraction (HFmrEF), for patients with LV ejection fraction (EF) of 40–49%, alongside modified definitions for reduced EF (HFrEF, EF
ISSN:0960-1643
1478-5242
DOI:10.3399/bjgp19X704069