Roadmap in diagnosing heart failure

Introduction
Step 1: Symptoms indicative of heart failure
1.1 Shortness of breath & helpful questions
1.2 Typical and not so typical moments
1.3 Teaching moment: the NYHA classification for heart failure
Step 2: Differential diagnoses
2.1 Differential diagnoses: breathlessness & ankle swelling
Step 3: Underlying causes
3.1 Screening underlying causes
Step 4: Screening findings
4.1 Signs are not always obvious
4.2 European Society of Cardiology guidelines
Step 5: Explain your preliminary diagnosis to the patient and outline your plan from here
5.1 Preliminary diagnosis of heart failure
5.2 Learning point: what treatment can you apply early in primary care?
Step 6: Initial investigations in primary care
6.1 Measure natriuretic peptides
6.2 Learning point: NICE guideline 2018 on natriuretic testing and referral for echocardiography and specialist assessment
6.3 Other tests
Step 7: Diagnosis of heart failure
7.1 Role of echocardiography and specialist assessment
Step 8: Ejection fraction
8.1 Echocardiography: an understanding of the examination and clinical interpretation
8.2 Heart failure with reduced ejection fraction
8.3 Heart failure with preserved ejection fraction
Conclusion

Upon successful completion of this e-learning, you will receive a certificate as proof of participation and completion. This certificate can be used to obtain NIHDI accreditation points and to demonstrate your professional development.