Investigation in general practice of patients with suspected heart failure. How should the essential echocardiographic service be delivered?

Colquhoun, Michael; Waine, Colin; Monaghan, Mark; Struthers, Allan D.; Mills, P. G.

doi:10.1136/hrt.74.4.335

Cited by 14 publications

(7 citation statements)

References 11 publications

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“…There is going to clearly be an increase in the number of patients referred for echocardiography services. However, currently there are too few trained operators to meet this level of demand [32]. Primary care trusts and hospital trusts need to provide an adequate level of funding to supply the necessary equipment and to employ the appropriately trained staff.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of open access echocardiography for primary care

Khunti

2004

European J of Heart Fail

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Over the last few years there has been a revolution in open access echocardiography services due to an increased demand from within secondary care and primary care. There have been some concerns expressed by specialists and open access echocardiography has not been universally welcomed as a means of offering healthcare. Suspected heart failure comprises the majority of primary care referrals for open access echocardiography. There is lack of rigorously controlled studies to support widespread establishment of open access echocardiography services.

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Section: Discussionmentioning

confidence: 99%

Systematic review of open access echocardiography for primary care

Khunti

2004

European J of Heart Fail

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“…Furthermore, asymptomatic left ventricular dysfunction is being used increasingly as an indicator of ensuing heart failure [4]. The recent application of echocardiography in population research and in general practice evaluations of patients suspected of having heart failure has provided more valid estimates of the occurrence of heart failure [5].…”

Section: Magnitude Of the Problemmentioning

confidence: 99%

Current status of the epidemiology of heart failure

Kannel

1999

Curr Cardiol Rep

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Epidemiologic investigation of the evolution of heart failure in the general population has provided clues to its pathogenesis, predisposing conditions, predictive modifiable risk factors, and indicators of deteriorating ventricular function. It is a major and growing problem because of the increased size of aging populations and the prolongation of the lives of cardiac patients by modern therapy. Susceptible persons must be detected early so that preventive measures can be started because the mortality rate once overt heart failure appears is unacceptably high despite recent innovations in treatment.

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“…4 There may be a few patients in whom, because of frailty or other complex pathology, the investigation would add little to management. However, many drugs (such as angiotensin converting enzyme (ACE) inhibitors, digoxin, and potent diuretics) used in the treatment of heart failure can have serious consequences when inappropriately used—for example, in patients with severe valve stenoses.…”

Section: Who Should Have Echocardiography?mentioning

confidence: 99%