NICE Guideline for Management of Chronic Heart Failure in Adults

Letters3 January 2012NICE Guideline for Management of Chronic Heart Failure in AdultsDavid L. Simel, MD, MHSDavid L. Simel, MD, MHSFrom Duke University, Durham, NC 27705.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-1-201201030-00024 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I accept the evidence-based suggestion in Mant and colleagues' article (1) that specialists and coordinated care in heart failure clinics can create better outcomes than “usual” care. But I cannot find the evidence base that supports the need for specialist assessment to diagnose chronic heart failure in patients with prior myocardial infarction.Generalists are capable of reviewing echocardiogram reports (generated by appropriately trained echocardiographers) that tell them whether a patient has preserved ejection fraction, systolic dysfunction, or other cardiac abnormality, which can help to further classify patients with heart failure. If these physicians are able to diagnose ...Reference1. 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 Scholar Author, Article, and Disclosure InformationAffiliations: From Duke University, Durham, NC 27705.Disclosures: None disclosed. 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 Jonathan Mant , Abdallah Al-Mohammad , and Sharon Swain NICE Guideline for Management of Chronic Heart Failure in Adults Thomas E. Finucane Metrics 3 January 2012Volume 156, Issue 1_Part_1Page: 69-70KeywordsConflicts of interestEjection fractionHeart failureMyocardial infarction ePublished: 3 January 2012 Issue Published: 3 January 2012 CopyrightCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...