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Heart Failure

Heart Failure. GP teaching session 5 Dec 2016 Dr Binoy Skaria, Consultant Cardiologist. Learning objectives. What is heart failure? Causes ? Diagnosis? When to refer to secondary care? Types of heart failure Medical therapy Device therapy Palliation and device deactivation.

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Heart Failure

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  1. Heart Failure GP teaching session 5 Dec 2016 Dr Binoy Skaria, Consultant Cardiologist

  2. Learning objectives • What is heart failure? • Causes ? • Diagnosis? • When to refer to secondary care? • Types of heart failure • Medical therapy • Device therapy • Palliation and device deactivation

  3. What is heart failure ? Clinical syndrome……that can result from any cardiac disorder….impaired ability of the ventricles to fill with or eject blood

  4. Causes of heart failure Ischemic heart disease Hypertension Valvular disease Viral myocarditis Alcohol Arrhythmias Hereditary Peripartum Rare

  5. Diagnosis • Clinical symptoms & signs • ECG • BNP / NT pro BNP • Referral to Heart failure clinic • Echo +/- other investigations

  6. Medical therapy for heart failure • Diuretics • ACE inhibitors • Beta blockers • MRA • Sacubitiril Valsartan ( Entresto) • Hydrallazine + ISDN • Ivabradine • Digoxin

  7. Device therapy • Pacemakers ( Single, Dual & biventricular) • ICDs ( Single, Dual & biventricular )

  8. Palliative Care, Device Deactivation

  9. References • NICE guidelines • ESC / ACC guidelines • Arrhythmia Alliance • British Heart Foundation

  10. Contacts • Jacqui.abbass @heartofengland.nhs.uk • ( tel : 0121 4245562; fax : 0121 4245548) • Heart failure Nurses ( via switchboard) • Oncall cardiology consultant at Solihull • Oncall cardiology registrar at BHH / GHH

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