CDC Heart Failure (NL & NEL)

Definition/Description

No Definition/Description Listed

Red Flag Symptoms

Risk Factors:

  • Obesity
  • African or African Caribbean family background
  • On treatment with diuretics, angiotensin converting enzyme (ACE) inhibitors, beta blockers, angiotensin II receptor blockers (ARBs), or mineralocorticoid receptor antagonists (MRAs) can reduce levels of serum natriuretic peptides.
  • High levels of serum natriuretic peptides can have causes other than heart failure (for example, age over 70 years, left ventricular hypertrophy, ischaemia, tachycardia, right ventricular overload, hypoxaemia [including pulmonary embolism], renal dysfunction [eGFR less than 60 ml/minute/1.73 m2], sepsis, chronic obstructive pulmonary disease, diabetes, or cirrhosis of the liver).

Guidelines on Management

Please note the tests below under GP responsibilities can be undertaken in either GP practice, CDC or acute setting at the discretion of the referring GP
Responsibilities CDC Basket Name To include

A&G/CHN Link
GP GP bloods prior to referral NT pro BNP  
  GP Radiology in addition to bloods (when appropriate)
ECG
Chest x-ray (by appointment only)
  
Specialist input Specialist care

Echocardiogram (by appointment only)

Heart monitors (by appointment only)

Basic spirometry

Chest x-ray (by appointment only)

Full iron studies
BP		 CHN specialist, converted A&G & Direct referral to community Cardiology
Specialist care (non-CDC) related investigations and procedures  

Coronary Angiogram

Exercise stress test

Myoview scan

Cardiac MRI scan

Cardiac CT scan
Pacemaker		 CHN onward referral

Please note:

  • Investigations that fall under the CDC baskets of tests within the Heart failure pathway are not restricted to being carried out within the CDC, as it is recognised that within this specific pathway, the CDC will not function as a one stop service
  • There are 3 specialist routes into this pathway which are CHN, Specialist care and Secondary care
  • If bloods have been taken within the last 3 months, they do not need to be repeated

Referral Criteria/Information

No Referral Criteria/Information Listed

Associated Policies

There are no associated policies.

Specialties

Community Diagnostic Centre North Lincolnshire Community Diagnostic Centre North East Lincolnshire

Places covered by

  • North East Lincolnshire
  • North Lincolnshire

Hospital Trusts

Author:
Date created: 11/07/2025, 07:42
Last modified: 15/07/2025, 10:26
Date of review: