There are excellent local guidelines for the investigation and management of LVSD.
Click here to see these LVSD Guidelines
Diagnosis is often difficult, and reasons for the diagnosis may not be clear in the clinical record.
If there is diagnostic uncertainty (i.e. your patient has not seen a specialist service or not had an Echo) then consider referral to the Heart Failure Diagnostic Service.
No need to go further in template unless LVSD (left ventricular systolic dysfunction), as other types of heart failure are not included in this LES.
LVSD inclusion criteria has changed. Patients need to have a Heart Failure code AND either one of the following LVSD codes: G5yy9 or 585f.
If your patient has LVSD, ensure code G5yy9 or 585f. appears in the diagnosis list on the "preferred" list.
• G5yy9 Left ventricular systolic dysfunction
• 585f. Echocardiogram shows left ventricular systolic dysfunction
All those in Grade IV should be seen by HFLNS.
DO NOT call those being managed by HFLNS for annual review - the HFLNS will return the relevant information on a pro-forma the practice should enter the data.