NICE Guideline for Management of Chronic Heart Failure in Adults

Letters3 January 2012NICE Guideline for Management of Chronic Heart Failure in AdultsThomas E. Finucane, MDThomas E. Finucane, MDFrom Johns Hopkins Bayview Medical Center, Baltimore, MD 21224.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-1-201201030-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The National Institute for Health and Clinical Excellence (NICE) guidelines presented by Mant and colleagues (1) for management of chronic heart failure in adults describe the problem as “a complex clinical syndrome.” The diagnostic algorithm begins with a detailed history and a clinical examination.However, the authors then say, “Clinical signs and symptoms are of limited use in the diagnosis of heart failure” (1). This must surely be a misprint.The next node down in the algorithm is either “Specialist assessment and Doppler echocardiography” or “Measure serum natriuretic peptide.” Are these the real tools to diagnose of ...References1. Mant J, Al-Mohammad A, Swain S, Laramée P; Guideline Development Group. Management of chronic heart failure in adults: synopsis of the National Institute For Health and clinical excellence guideline. Ann Intern Med. 2011;155:252-9. [PMID: 21844551] LinkGoogle Scholar2. Leff B, Finucane TE. Gizmo idolatry. JAMA. 2008;299:1830-2. [PMID: 18413879] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Johns Hopkins Bayview Medical Center, Baltimore, MD 21224. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoManagement of Chronic Heart Failure in Adults: Synopsis of the National Institute for Health and Clinical Excellence Guideline Jonathan Mant , Abdallah Al-Mohammad , Sharon Swain , Philippe Laramée , and NICE Guideline for Management of Chronic Heart Failure in Adults David L. Simel NICE Guideline for Management of Chronic Heart Failure in Adults Jonathan Mant , Abdallah Al-Mohammad , and Sharon Swain Metrics Cited byAlfabetización en salud en pacientes con insuficiencia cardiaca atendidos en atención primaria AT 1 mutations and risk of atrial fibrillation based on genotypes from 71 000 individuals from the general population 3 January 2012Volume 156, Issue 1_Part_1Page: 69KeywordsAlgorithmsCardiovascular therapyDementiaEchocardiographyHeart failureIschemic strokeNatriuretic peptidesSigns and symptoms ePublished: 3 January 2012 Issue Published: 3 January 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...