July 1, 2009Open Access

Systematic review and individual patient data meta-analysis of diagnosis of heart failure, with modelling of implications of different diagnostic strategies in primary care

PICO estructurado

Does BNP/NT-proBNP or direct echocardiography improve the diagnosis of heart failure in primary care compared to ECG or preliminary investigation?

Población

Patients in primary care undergoing diagnosis of heart failure

Intervención

BNP (or NT-proBNP) testing or direct referral for echocardiography

Comparador

ECG or preliminary investigation

Resultado

Diagnosis of heart failure

For diagnosing heart failure in primary care, BNP or NT-proBNP should be prioritized over ECG, and direct echocardiography may be appropriate for some patients, challenging current NICE recommendations.

Resumen

The analysis suggests the need for important changes to the NICE recommendations. First, BNP (or NT-proBNP) should be recommended over ECG and, second, some patients should be referred straight for echocardiography without undergoing any preliminary investigation. Future work should include evaluation of the clinical rule described above in clinical practice.

Preguntar a la IA

Me gusta

Guardar

Ver artículo completo

Cite This Study

Mant et al. (Wed,) studied this question.

synapsesocial.com/papers/69dd53adfb7610310c102207 https://doi.org/https://doi.org/10.3310/hta13320

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

Preguntar a la IA

Me gusta

Guardar

Ver artículo completo