My name is Fernando Florido and I am a GP in the United Kingdom. In this episode I go through the NICE guidelines “Chronic heart failure in adults: diagnosis and management” or NG106, Published on 12 September 2018 


There is a YouTube version of this and other episodes that you can access here: 


·      [ Ссылка ]


The NICE guideline on chronic heart failure can be found here:  


·      Website: [ Ссылка ] or as PDF: [ Ссылка ]


·      Or download here: [ Ссылка ]


The NICE recommendations on dapaglifozin and empaglifozin in HF can be found:


·      On website here:


o  Dapaglifozin in HF: [ Ссылка ] [ Ссылка ]


o  Empaglifozin in HF: [ Ссылка ] [ Ссылка ]


·      Or downloaded here:


o  Dapaglifozin: [ Ссылка ]


o  Empaglifozin: [ Ссылка ]


The Visual summaries on diagnosis and management of heart failure can be found here:

• Website:

1-Diagnosis: [ Ссылка ]


2-Management:  [ Ссылка ]


·      Or download here:  


1-Diagnosis: [ Ссылка ]


2-Management:


[ Ссылка ]


Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]


Music provided by Audio Library Plus


Watch: [ Ссылка ] ([ Ссылка ])


Free Download / Stream: [ Ссылка ] ([ Ссылка ])  


Transcript


Hello everyone and welcome.


Today we are going to look at the NICE guidelines on Chronic heart failure.


My name is Fernando Florido and I am a GP in the United Kingdom. Remember that there is also a YouTube version of these episodes so have a look in the podcast description. Let’s jump straight into it.


The first recommendation given by NICE is probably something that is often neglected. And this is to write a care plan for every patient with HF. This care plan must include:


·      diagnosis and cause


·      medication and monitoring


·      functional abilities and any social circumstances


·      details of clinical management including

• symptoms to look out for in case of deterioration

o  how to access the specialist team


o  contact details for a named healthcare coordinator or alternative specialist care providers, for urgent care or review.


When it comes to making the Diagnosis we will base it initially on the history, and clinical examination.


Some of the typical symptoms of HF may include:


·      Shortness of breath on exertion or when lying down


·      Fatigue and weakness


·      Bilateral leg, ankle or foot swelling


·      Rapid or irregular pulse


·      Reduced ability to exercise


·      Persistent cough or wheezing


·      Abdominal swelling and


·      Very rapid weight gain from fluid retention


Examples of examination findings in


left-sided heart failure ([ Ссылка ])  include cool clammy skin ([ Ссылка ]) , cyanosis ([ Ссылка ]) , a laterally displaced point of maximum impulse ([ Ссылка ]) consistent with an enlarged ventricle and on auscultation we can find lung crackles and a gallop rhythm. Signs ([ Ссылка ])  in right sided heart failure ([ Ссылка ])  include an elevated JVP ([ Ссылка ]) , ankle of leg edema ([ Ссылка ]) , ascites ([ Ссылка ]) , hepatomegaly ([ Ссылка ]) , a parasternal heave ([ Ссылка ])  and hepat...

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