- Discuss your diagnosis and likely outcome
- Explain your treatments and any future treatments
- Explain what causes your heart failure and any terminology
- Explain what heart failure is and the difference between a heart attack and cardiac arrest and the misconceptions around sudden death
- Ensure that you receive patient information for you to be able to help yourself self-manage better
- Your specialist team should prescribe medicines called Beta Blockers, ACE inhibitors or ARB’s. If your symptoms remain you should be prescribed medicines called MRA’s like Spironolactone or Eplerenone. Secondary medicine intervention may include Ivabradine and or Sacubitril Valsartan (Entresto)
- You should be offered a personalised exercise rehabilitation programme in an easily accessible place for you as long as your condition is stable
- People with heart failure do not routinely need to restrict their salt (sodium) or fluid consumption unless instructed to by their specialist team or primary care team. This will be constantly monitored with you
Many patient tell us that one of their frustrations is the lack of what seems clear and concise communication between their team of heart failure specialists and primary care e.g. GP’s and their practice staff. This guideline should go a long way to helping this communication get better especially with the care plan through the clear focus the guideline has on your specialist team.
With a better diagnosis people will access the correct treatments and care quicker.
There will be more monitoring of patients with more people being offered MRA’s e.g. Spironolactone or Eplerenone.
It is important that you realise you are entitled to cardiac rehabilitation when clinically appropriate.