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The national heart failure audit for England and Wales 2008–2009
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  • Published on:
    Involving primary care and cardiac rehabilitation in a reorganized service could improve outcomes
    • Hasnain M Dalal, General Practitioner
    • Other Contributors:
      • Jenny Wingham, Robert Lewin, Patrick Doherty and Rod S Taylor

    The full National Heart Failure Audit report[1] and a recent editorial in the Lancet endorse the report's conclusion that it 'provides a powerful incentive to reorganize heart failure care in the UK'.[1,2] The suggested solution is to provide specialist care similar to that given to people after heart attacks citing that such specialized units 'could do for heart failure what coronary care units have done for myocardial...

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    Conflict of Interest:
    None declared.
  • Published on:
    chest radiography for validation of heart failure diagnosis

    Remarkably, chest radiography was notable by its absence from the "mandatory fields for completion" in the 2008-2009 national heart failure audit(1) notwithstanding the documentation that clinical markers of congestion have high positive predictive value(PPV) for validation of acute heart failure(2). According to one review, pulmonary vascular redistribution is associated with a PPV of 75% and a negative predictive valu...

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    Conflict of Interest:
    None declared.