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Table 1 Changes in medication advice

From: Improvement of primary care for patients with chronic heart failure: A study protocol for a cluster randomised trial comparing two strategies

Medication advice based on the 2005 GP practice guideline

Medication advice based on the 2010 multidisciplinary guideline

One scheme:

Systolic heart failure:

   - Diuretics

   - ACE inhibitor (or ARB if not tolerated) in evidence based doses

   - ACE inhibitors or ARB

   - Diuretics for fluid retention

   - Beta blocker

   - Beta blocker blockers licensed for heart failure in evidence based doses

   - Aldosteron antagonist

   - Aldosterone antagonist or ARB

   - Digoxin

   - Digoxin or H + ISND

 

Diastolic heart failure:

 

   - Diuretic if signs of fluid retention

 

   - Adequate treatment of co morbidity

 

   - Strict blood pressure control

  1. ARB = angiotensin II receptor blocker
  2. H + ISDN = Hydralazine + isosorbide dinitrate