Heart Failure: Assessment and investigations

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Clinical History

The following are associated with an increased risk of heart failure:-

  • Angina/myocardial infarction/ ischaemic heart disease
  • Arrhythmias
  • Hypertension
  • Diabetes
  • Valvular disease/murmur
  • Cardiomyopathy
  • Alcohol abuse
  • Medication review – check for contraindications
Clinical Examination
  • Heart rate and rhythm
  • Blood pressure
  • Raised jugular venous pressure
  • Murmur – added 3rd heart sound
  • Lung crepitations
  • Oedema
  • Ascities
  • Hepatomegaly
Abbreviation Meaning
ECG Electrocardiogram
NTproBNP Pro B-type Natriuretic Peptide
U+Es Urea and electrolytes
LFTs Liver function tests
TFTs Thyroid function tests
Editorial Information

Last reviewed: 31 January 2018

Next review: 31 January 2020

Author(s): Cardiovascular Improvement Group

Approved By: High-UHB.tam@nhs.net

Reviewer Name(s): Prof Steve Leslie, Mandi Smith

Document Id: TAM129