Heart Failure Guidelines

Question 1

When should CTCA should be done to investigate heart failure?

Answer 1

If there is low suspicion - if high suspicion should have angiogram

Question 2

Should stress testing be used to investigate for underlying ischaemia for heart failure?

Answer 2

not recommended - patient has difficulty achieving adequate level of stress

Question 3

What investigation should be done in patients with increased LV wall thickness?

Answer 3

cardiac MRI

PET scan may be useful

Question 4

Which medications should all patients with HFrEF be on?

Answer 4

ACE inhibitor, beta blocker, MRA

Question 5

What is the pharmacological management for patients with HF with EF 41-49%?

Answer 5

Limited data to support use of any of the drugs

Can still use ACE/beta blocker/MRA/ARB

Question 6

Should patients who recover their ejection fraction continue on neurohormonal antagonists?

Answer 6

yes

Question 7

Are there any drugs with survival benefit in HFpEF?

Answer 7

no

Question 8

Which patients have more benefit from ICD - patients with IHD or dilated cardiomyopathy?

Answer 8

IHD - but ICD still indicated in DCM

Question 9

When should IV iron be given in heart failure?

Answer 9

if ferritin < 100 or if ferritin 100-300 and transferrin saturation < 20%