Managing Heart Failure – The key role of the GP – MM1603
HF is a complex syndrome whereby systemic perfusion is insufficient to
meet the body’s metabolic demands. Although its clinical features are quite
varied, it is frequently characterised by elevated left ventricular filling pressures, inadequate peripheral oxygen delivery and neurohormonal activation. In particular, activation of both the renin–angiotensin–aldosterone and sympathetic nervous systems leads to fluid retention and adverse pathological axis remodelling of the heart.
Management of most patients with heart failure occurs at an outpatient
level, with the GP playing a central role in initial diagnosis, counselling, regular
assessment of fluid status, titration and monitoring of medications and end-of life care.
Modern Medicine – March 2016
