Below is a heart failure info graphic from Novartis.

Machine generated alternative text: l!) NOVARTIS primary Care Cardiovascu lar Society Top tips for reviewing patients with Chronic Heart Failure in a virtual consultation Use these top tips to get the most out of your virtual consultations with your adult patients Who have been diagnosed With chronic heart failure With reduced ejection fraction Consultation preparation • What is the reason for the consultation? • Review the patient's clinical record • Am] CMdiac hospitalisation or contact with the • they any blood tests? • Am} relevant Assessment and presenting history • Have they noticed a change in AOL increased fatigue e. NVHA? tolerance has changed is it gradual or sudden? • Are they breathless while lying flat or wake in the night feeling breathless? • Have they had developed o' Worsening Of ankle swelling or increases in weight? • Have they been aware of palpitations? TOP TIPS TOP one family Encourage the use of technology • Is using a phone. smartphone or computer? • Consider the use of to enhance the consultation 00 they have a home If SO, BP and pulse Ask questions re-ganiing agpmpriate AOL taken the bins the dc'? Dc they scales? If so. Oc the,' any tlut may aff«t e s cope? Virtual examination- practical examples • Can the patient around or say a complete sentence Without being breathless? • Can you Observe rate Of breathing or signs of oedema? Ask 'Ntient to go and get .m.thing Consider asking the patient or to test gtting ædem Can the patient move the to parts of TOP TIPS Medication review • HOW well is the patient managing their drugs? Are they compliant? • Has their medication optimised? • g' an the of a TOP TIPS Next steps • Follcnving the patient assessment & guide your next steps. No cause for concern Set a next review date . there is no worsening symptoms • If optimised . If patient is reassured of to Top identify of dition Äning Hwy be w.king Seek further advice Call or refer to HF specialist team or cardiologist • If symptoms or g in N YHA class consider increasing diuretic whilst advice . If emeems aver to medicatiryn • furthwr t%ts whilst ecrR. Ecc etc . reviewing patient again in 48-72 copo - di—, - & Urgent action needed Act immediately, e.g. seek emergency call 999 • If pain • If is e significant in NYHA c • If acute (hy'mia. hypotension Nye-A Thi. in'ogrsphie md by H h" ben in with Valid Aknm Or Jim Thi. is enduwd by Cue Cudi (PCCSI. NOAA IV