Heart Failure

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Patient Audit Tool

Use the patient audit tool to enter information for your patients with heart failure with reduced ejection fraction (HFrEF). Press the submit button to generate a report with recommended actions to consider implementing.

This form can be reset by clicking the reset button at the bottom of the page. Data is processed locally. No data is recorded or retained on MAIA servers.
Current medicine(s) Class Guideline recommendations
ARNI/ACE/ARB Renin-angiotensin system (RAS) inhibitor improve symptoms and reduce cardiovascular mortality and hospitalisation for heart failure
Beta-blocker Beta-blockers that improve clinical outcomes in HFrEF are bisoprolol, carvedilol, metoprolol succinate and nebivolol
MRA MRA that improve clinical outcomes in HFrEF are eplerenone and low-dose spironolactone
SGLT2 SGLT2 inhibitors reduce cardiovascular mortality and hospitalisation for heart failure patients, with or without type 2 diabetes
Patient Notes
Evidence of acute decompensation (dyspnoea, peripheral oedema) or NYHA class IV HF symptoms (inability to carry on any physical activity without discomfort) Yes No
Home Medicines Review (HMR) or Residential Medication Management Review (RMMR) requested in the last 2 years Yes No HMR can reduce hospitalisation rate by 45% for heart failure patients
GP management plan done in the last 2 years Yes No GPMP can reduce hospitalisation rate by 17% for heart failure patients
Does the patient have a previous history of falls and/or hospitalisation? Yes No
Systolic blood pressure mmHg
Diastolic blood pressure mmHg
eGFR mL/min
After reading the therapeutic brief, which of the following actions would you implement?
No data is recorded or retained on MAIA servers. Data is only processed locally.


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