The Rapid Access Heart Function Clinic
(For Patients with Suspected Heart Failure)
The Rapid Access Heart Function Clinic is a service to diagnose heart failure in patients who have not previously been diagnosed with heart failure supported by cardiac imaging .
This is a nurse led service. During the clinic appointment an ECG and an ECHO will be performed.
The patient will not routinely see a consultant cardiologist.
Treatment will be initiated and advice will be given on the management of the patient’s condition.
Patients will be seen within 2 weeks of the referral.
The clinic is based at the Royal Cornwall Hospital and is delivered 3 times per week.
Patients with symptoms/signs suggestive of heart failure
Previous Myocardial Infarction
- Patients with suspected heart failure and no previous history of MI or NT pro-BNP < 2000pg
- If the NT pro-BNP is raised but <2000pg consider Direct Access Community Echo
- If the NT pro-BNP is normal a diagnosis of heart failure is very unlikely and an echo should not be requested unless there is an additional indication.
How To Refer:
- Referral letter via RMS clearly marked for Rapid Access Heart Function Clinic
- Provide clinical details including past history of MI and NTBNP level
- No need to attach ECG or arrange echo as these will be performed at the clinic
Remember NT pro-BNP is age specific - abnormal levels:
age <60 = >100pg/ml; age 60-75 = >200pg/ml; age >75 = >400pg/ml.
For full guidelines and other referral pathways see Heart Failure page.
Date reviewed 01/04/2019
Next review due 01/04/2020
Sifter name Elizabeth Fell
Contributors Dr Louise Melley – Assistant Specialist Cardiology RCHT