BSR, iFR, and FFR have equivalent diagnostic accuracy for the detection of ischaemia-generating coronary stenoses.

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identified 119/138 (86%) patients that met the minimum requirement for palliative care input. However, the SHF model predicted that only 6/138 patients (4.3%) had a predicted life expectancy of less than 1 year. Patients who met GSF criteria for palliative care had significantly more hospital admissions (p¼0.001) and had significantly lower predicted survival rates at 1 year (p¼0.038) than those patients that did not meet GSF criteria. At follow-up, 43/138 patients had died (31%). Of these, 58% (25/43) died in hospital, following an acute admission. The sensitivity and specificity for the GSF and SHF model were 22%/83% and 98%/12% respectively. Overall, the patients renal function (eGFR<35 ml/min) was the best predictor of mortality, (sensitivity/specificity¼82%/56%). Discussion Neither the GSF nor the SHF were very accurate in predicting which patients were in the last year of life, in this selected sample. Despite the increasing drive towards palliation in heart failure, clinicians are still faced with a substantial prognostic barrier. Therefore, the progress of palliative care in heart failure patients may require a shift away from the traditional "end of life" model developed in cancer treatment, and focus instead on a patient 9 s increasing needs coupled with an understanding that death, itself, may remain unpredictable.