Heart Failure

Evidence Based Reports

Management of Congestive Heart Failure in Primary and Community Care: Guidelines (2013)[CADTH] NEW

Wireless Cardiac Stimulation System for chronic heart failure (2013)[National Horizon Scanning Centre] NEW

Congestive Heart Failure Follow-up Models: A Review of the Clinical Effectiveness (2012) [CADTH] NEW

 

Use of Natriuretic Peptide Measurement in the Management of Heart Failure (2012) [AHRQ][Executive Summary]

Darbepoetin alfa (Aranesp) for anaemia in symptomatic heart failure – first line (2012) [National Horizon Scanning Centre]NEW

Insertion and use of implantable pulmonary artery pressure monitors in chronic heart failure (2013)[NICE] NEW

Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation  (2013)[NIHR HTA] NEW

Benefits of beta blockers in patients with heart failure and reduced ejection fraction: network meta-analysis (2013)[DARE] NEW

Anticoagulation versus placebo for heart failure in sinus rhythm (2013)[Cochrane] updated

Nitrates for acute heart failure syndromes (2012)[Cochrane]NEW

Ivabradine for treating chronic heart failure (2012)[NICE] NEW

 

What strategies are effective for exercise adherence in heart failure? A systematic review of controlled studies (2012) [DARE] NEW

 

Effect of outpatient exercise training programmes in patients with chronic heart failure: a systematic review (2012) [DARE] NEW

 

Interventions to enhance adherence to medications in patients with heart failure: a systematic review (2012)[DARE] NEW

 

Effect of coenzyme Q10 supplementation on heart failure: a meta-analysis (2012)[DARE] NEW

Shengmai (a traditional Chinese herbal medicine) for heart failure (2011)[Cochrane]  updated
 

Diuretics for heart failure (2011)[Cochrane]

Digitalis for treatment of congestive heart failure in patients in sinus rhythm (2011)[Cochrane]

Dronedarone▼ increases the risk of heart failure, stroke and death compared to placebo in people with permanent AF (2011) [NPC Rapid Reviews]

Does eplerenone▼ have a role in mild heart failure? (2011) [NPC Rapid Review]

Chronic Heart Failure Evidence Update (2011)[NHS Evidence]

Meta-analysis: cardiac resynchronization therapy for patients with less symptomatic heart failure (2011)[DARE]

Heart failure (2010)[Clinical Evidence]Athens Log-in required

More improvement needed in the drug management of heart failure (2010) [NPC Rapid Review]

Angiotensin receptor blockers for heart failure (2010)[Cochrane]

Antiplatelet agents versus control or anticoagulation for heart failure in sinus rhythm (2010)[Cochrane]

A systematic review and economic evaluation of the clinical effectiveness and cost-effectiveness of aldosterone antagonists for postmyocardial infarction heart failure (2010)[NIHR HTA]

Levosimendan for the treatment of acute severe heart failure: a meta-analysis of randomised controlled trials (2010)[DARE]

Enhanced external counterpulsation for stable angina or heart failure: a systematic review and economic evaluation (2009)[NIHR HTA])[DARE]

Systematic review and individual patient data meta-analysis of diagnosis of heart failure, with modelling of implications of different diagnostic strategies in primary care (2009)[NIHR HTA]

Meta-analysis: beta-blocker dose, heart rate reduction, and death in patients with heart failure (2009)[DARE]

The accuracy of plasma natriuretic peptide levels for diagnosis of cardiac dysfunction and chronic heart failure in community-dwelling elderly: a systematic review (2009)[DARE]

Treatment of Chronic Heart Failure (2009)[WeMRec]

Effects of neuromuscular electrical stimulation of muscles of ambulation in patients with chronic heart failure or COPD: a systematic review of the English-language literature (2009)[DARE]

Erythropoiesis-stimulating agents for anaemia in chronic heart failure patients (2009)[Cochrane]

Beta-blockers for congestive heart failure in children (2008)[Cochrane]

Exercise based rehabilitation for heart failure (2008)[Cochrane]

Structured telephone support or telemonitoring programmes for patients with chronic heart failure (2008)[Cochrane] [Cochrane PEARLS]

Non-Pharmacological Interventions for Post-Discharge Care in Heart Failure (2008)[AHRQ]

Congestive heart failure and cardiovascular death in patients with prediabetes and type 2 diabetes given thiazolidinediones: a meta-analysis of randomised clinical trials (2008)[DARE]

Benefits and harms of antidiabetic agents in patients with diabetes and heart failure: systematic review (2008)[DARE]



Clinical Guidelines

Chronic heart failure (2013)[NICE pathway] updated

Heart failure (2013)[Map of Medicine] updated

ESC guidelines for the diagnosis and treatment of acute and chronic heart failure (2012) [ESC]NEW

Chronic heart failure: management of chronic heart failure in adults in primary and secondary care (2010) [NICE]

Heart failure - chronic (2010)[CKS]

Management of chronic heart failure (2007)[SIGN]



Recent articles in core journals

Impact of home versus clinic-based management of chronic heart failure: the WHICH? (Which Heart Failure Intervention Is Most Cost-Effective & Consumer Friendly in Reducing Hospital Care) multicenter, randomized trial (2012) [J Am Coll Cardiol] NEW

Warfarin and aspirin in patients with heart failure and sinus rhythm (2012)[NEJM]NEW

Long-term follow-up of participants with heart failure in the antihypertensive and lipid-lowering treatment to prevent heart attack trial (ALLHAT)(2011)[Circulation]

In search of new therapeutic targets and strategies for heart failure: recent advances in basic science (2011)[Lancet]

Medical therapy for chronic heart failure (2011) [Lancet]

Management of chronic heart failure guided by individual N-terminal pro-B-type natriuretic peptide targets: results of the PRIMA study (2010)[J Am Coll Cardiol]

Heart rate as a risk factor in chronic heart failure (SHIFT): the association between heart rate and outcomes in a randomised placebo-controlled trial (2010)[Lancet]

Randomized Trial of Warfarin, Aspirin, and Clopidogrel in Patients With Chronic Heart Failure: The Warfarin and Antiplatelet Therapy in Chronic Heart Failure (WATCH) Trial (2009) [Circulation]



eTextbooks


Heart Failure Diagnosis and Investigation (2012)[Mentor] updated

Heart Failure Management (2012)[Mentor]updated

Palliative Care of Heart Failure (2012)[Mentor]updated

Heart failure: an update on management (2007)[BMJ Learning]


Clinical Queries

Is there any evidence for the use of both ACE-inhibitors and beta-blockers concurrently in heart failure due to left ventricular systolic dysfunction? Does it reduce mortality? (2012)[ATTRACT]NEW

proBNP is used to diagnose heart failure. Can and should it be used to monitor response to heart failure treatment (2010)[ATTRACT]

Are there any recommendations regarding how best to change patients with heart failure from the more “traditional” beta-blockers to those licensed for use in heart failure. Can they simply be switched from one to another and if so what are the equivalent doses? (2009)[ATTRACT]


Patient Information

Heart Failure (2013)[BUPA] updated

Heart failure (2012)[NHS Choices] updated

Heart Failure (2012)[Patient UK] updated




Important

1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.