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Covid-19 Primary Care Resources

Heart Failure

British Society for HF advice on shielding, and who to prioritise for review

This information is sourced from the British Society for Heart Failure (BSH):


  • Consider shielding for those symptomatic patients at highest risk, including those with an NT-proBNP of >2000pg/ml

Patients to be considered for secondary care review:

  • New referrals of symptomatic patients with NTproBNP >2000 pg/ml from primary care or recent A&E attendance
  • Known HF patients with symptoms of decompensation
  • Recently discharged patients following admission with acute heart failure
  • Patients with advanced care plans and receiving palliative care in the community

BSH propose that provision should include as a minimum:

  • Access to essential phlebotomy services
  • NTproBNP/BNP for those with possible new diagnosis of HF
  • Specialist advice lines for patients and health care professionals
  • Timely face to face review in appropriate environment
  • Advanced care planning in conjunction with palliative care