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Cardiovascular
64 articles
CARDIOVASCULAR · 64 ARTICLES
Chronic Heart Failure
NICE NG106 · 14 min read
Atrial Fibrillation
NICE NG196 · 11 min read
Acute Coronary Syndrome
NICE NG185 · 16 min read
Hypertension in adults
NICE NG136 · 12 min read
CARDIOVASCULAR
Chronic Heart Failure
Updated 2 Aug 2026 · NICE NG106
DEFINITION
Chronic heart failure is a clinical syndrome of breathlessness, fatigue and fluid retention caused by structural or functional cardiac impairment.
DIAGNOSIS
Measure NT-proBNP in all people with suspected heart failure. Refer for specialist assessment and echocardiography within two weeks if above 2,000 ng/litre.
Offer an ACE inhibitor and a beta-blocker licensed for heart failure as first-line treatment.
MANAGEMENT
If symptoms persist, add an aldosterone antagonist and monitor potassium and renal function. Refer to a specialist heart failure multidisciplinary team.
KEPT CURRENT
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