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See NICE CG108: Chronic heart failure (August 2010)
To reduce morbidity and mortality, prescribe an ACE inhibitor and a beta-blocker.
To relieve symptoms of fluid overload, prescribe a diuretic.
Loop diuretic plus ACE inhibitor plus Beta-blocker
If symptoms persist despite optimal first-line therapy, seek specialist advice and consider adding:
The Heart Failure Nurse Team will accept referrals for patients with heart failure due to left ventricular systolic dysfunction, which has been confirmed by echocardiography and / or angiography. As per NICE CG108, newly suspected Heart Failure should be referred for an echocardiogram and assessment by a specialist, before referring to the Heart Failure Nurse Team.