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This information provides guidance on the management of cardiology patients across Northern Devon during the Covid-19 pandemic. The information is based on national guidance from NHS England and the British Cardiovascular Society, including affiliated societies.
Patients will be triaged by our team and may be seen in a clinic environment and have an echo (particularly, those with nt-pro-BNP 2000 or higher) to confirm/refute diagnosis, or deferred until a safer time. Advice regarding ongoing management will be provided and where appropriate referral to the Heart Failure Nursing team will be made.
The Heart failure nursing service will continue to provide:
Please note, we will be adjusting only those medications where we feel this is likely to prevent or treat a period of decompensation and subsequently avoid hospital admission.
We are not titrating routine heart failure therapies, where this would require face to face monitoring.
Please feel free to contact our team if you are aware of any patients, under your care, who are experiencing symptomatic heart failure (due to reduced LV function), of whom we may not be aware. We would be happy to offer advice and/or assessment as required.
We would also be happy to provide advice (only) for diuretic management in those patients who have heart failure, but preserved LV function.
Refer conditions above as urgent, Consultant Cardiology Team will review and determine the type of consultation required:
All new routine referrals will be clinically triaged and will either be added to a waiting list or, if appropriate, A&G will be given .
Please ensure that a practice-based system is in place to check daily for returning referrals with A&G.
Prior to making a routine referral, please ensure that any appropriate Policy or CRG has been reviewed and that all the suggested investigations and management options have been considered.
Existing new and follow-up routine appointments have been cancelled and changed to telephone / video consultation where appropriate.
Please call the Trust Cardiology department tel: 01271 314131 or, for urgent queries, the Cardiologist of the Week (COW) via NDDH switchboard Tel: (01271) 322577
Please see 4. above in urgent referrals.
If concerned about a patient please contact the relevant clinical team.
Even if not at extremely high risk, we have reiterated the importance of staying at home apart from essential needs as per current advice, as patients may still be at particularly high risk because of their heart condition. In particular, that they may be at high risk if:
We would wish, to highlight the concerns of the heart failure professional body regarding the lack of shielding advice for patients living with heart failure. As a result, we have advised patients living with heart failure that they fit in to the category of a vulnerable adult and should strictly comply with social distancing for at least 12 weeks; where requested, we have written letters for them to share with their employers.
General Cardiology queries telephone: 01271 314131
Heart Failure telephone: 01271 314058 or bleep 373 via NDDH switchboard Tel: (01271) 322577
Arrhythmia Care, Cardiac Rehabilitation and Heart Failure telephone: 01271 311633
Cardio-Respiratory Department telephone: 01271 322475
Cardiologist of the Week (COW) via NDDH switchboard telephone: (01271) 322577