I am
Show me:
Show me:
heartfoundation.org.au|Helpline 13 11 12

Heart failure clinical tools

Discover a range of heart failure tools derived from the guidelines for the Prevention, Detection, and Management of Heart Failure in Australia 2018.

We have developed tools and algorithms from the latest National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Guidelines for the Prevention, Detection, and Management of Heart Failure in Australia 2018.

They are available now on the Smart Heart Guidelines App, or as printable versions below for health care professionals.

Heart failure patients with reduced ejection fraction 

Heart failure patients with reduced ejection fraction have reduced cardiac output due to reduced left ventricle systolic function. This has multiple negative consequences. These many and varied and negative consequences of reduced cardiac output and heart failure also represents targets for intervention from which the greatest heart failure treatment successes have arisen.  

Figure 1. Summarises the drivers and potential targets for treatment in heart failure with reduced ejection fraction.

Refer to section 3.5 Pathophysiology of the heart failure clinical guidelines for further detail. 

The diagnostic workup of a patient with suspected heart failure 

The diagnostic workup of a patient with suspected heart failure is summarised in Figure 2.

Highly recommended investigations include the 12-lead ECG, chest x-ray, transthoracic echocardiography and laboratory blood testing, to establish an initial working diagnosis and treatment plan.  

Refer to section 5. Diagnosis and Investigations of the heart failure clinical guidelines to further detail.  

Management of patients with heart failure with reduced ejection fraction 

Figure 3. Management of patients with heart failure with reduced ejection fraction briefly summaries the approach to management in patients with HFrEF.

Refer to section 7.1 Heart Failure with Reduced Left Ventricular Ejection Fraction of the heart failure clinical guidelines for further detail.  

The heart failure guidelines make a strong recommendation that medications that can exacerbate heart failure symptoms or cause deterioration in cardiovascular hemodynamics should be re-evaluated, because their adverse effects may be reversible. Table 10. outlines medications that may cause or exacerbate chronic heart failure.  

Refer to section 6.1 Assessment of the heart failure clinical guidelines for further detail. 

You can access clinical heart failure guidelines and these interactive tools in the Smart Heart Guidelines App.


Download the Smart Heart Guidelines app

WHAT NEXT?

Heart Health Checks: Information for healthcare professionals

Heart Health Checks: Information for healthcare professionals

Heart Health Checks have been supported by Medicare since the 1 April 2019....

Absolute CVD risk clinical guidelines

Absolute CVD risk clinical guidelines

The Absolute Cardiovascular Disease Risk (CVD) Guidelines helps healthcare professionals identify, prevent and manage a person's risk of developing CVD. ...

Heart Health Network

Heart Health Network

Heart Health Network

Heart Health Network is the Heart Foundation’s newsletter for health professionals delivered to your inbox once a month....

Acute coronary syndromes (ACS) clinical resources

Acute coronary syndromes (ACS) clinical resources

Resources and clinical information for health professionals...

Cardiac rehabilitation information for health professionals

Cardiac rehabilitation information for health professionals

Useful cardiac rehabilitation resources for health professionals....

This Father’s Day share the ways you protect your heart

This Father’s Day share the ways you protect your heart

This Father’s Day share the ways you protect your heart

Have you thought about what you are getting for your children this Father’s Day?...

Acute Coronary Syndromes tools from the guidelines

Acute Coronary Syndromes tools from the guidelines

Assessment protocols and algorithm for health care professionals...

Atrial Fibrillation (AF) clinical resources

Atrial Fibrillation (AF) clinical resources

Resources and clinical information for health professionals...

Absolute CVD risk charts

Absolute CVD risk charts

Absolute Risk charts provide a visual tool to calculate CVD risk for use in practice in Australia....

Acute Coronary Syndromes (ACS) clinical guidelines

Acute Coronary Syndromes (ACS) clinical guidelines

Guidelines for acute coronary syndromes for clinical care of patients presenting with suspected or confirmed ACS....

Absolute CVD risk assessment resources

Absolute CVD risk assessment resources

Resources and clinical information for health professionals...

Absolute CVD risk assessment practical update webinar

Absolute CVD risk assessment practical update webinar

A multidisciplinary panel of experts discuss the practical application of absolute CVD risk assessment through Heart Health Checks....

Acute rheumatic fever and rheumatic heart disease

Acute rheumatic fever and rheumatic heart disease

The Australian Guideline for Prevention, Diagnosis and Management of Acute Rheumatic Fever and Rheumatic Heart Disease (2nd Edition)​....

Clinical Guidelines

Clinical Guidelines

Clinical Guidelines

Full list of clinical guidlines and references for CVD, heart failure, ACS, hypertension, atrial fibrillation, SCAD and RHD...

Atrial fibrillation clinical resources for healthcare professionals

Atrial fibrillation clinical resources for healthcare professionals

Clinical resources for healthcare professionals including algorithms and key practice points....

Heart failure clinical resources

Heart failure clinical resources

Resources and clinical information for health professionals...

Atrial fibrillation clinical guidelines

Atrial fibrillation clinical guidelines

Clinical information for diagnosis and management of atrial fibrillation...

Atrial fibrillation interactive tools from the guidelines

Atrial fibrillation interactive tools from the guidelines

Atrial fibrillation interactive tools from the guidelines

These tools and algorithms are for healthcare professionals and have been developed from the Australian Clinical Guidelines for the Diagnosis and Management of Atrial Fibrillation 2018. ...

Clinical resources: Coronary heart disease and mental health

Clinical resources: Coronary heart disease and mental health

The prevalence of depression is high in patients with coronary heart disease (CHD)....

Cardiovascular disease (CVD) risk assessment and management

Cardiovascular disease (CVD) risk assessment and management

Absolute CVD risk assessment is an integrated approach that estimates the cumulative risk of multiple risk factors to predict a heart attack or stroke event in the next five years....

Heart failure clinical resources

Heart failure clinical resources

Clinical resources for health care professionals to improve the management of patients with heart failure. ...

Heart failure clinical factsheets

Heart failure clinical factsheets

Information about the diagnosis, classification and pharmacological management of heart failure. ...

Heart failure clinical guidelines

Heart failure clinical guidelines

Guidelines for the prevention, detection and management of heart failure....

Heart failure diagnosis and care webinar

Heart failure diagnosis and care webinar

Improving diagnosis and care for heart failure patients....

Hypertension clinical information and guidelines

Hypertension clinical information and guidelines

Clinical information for diagnosis and management of hypertension....

Lipid management clinical information and resources

Lipid management clinical information and resources

Lipid management resources for health professionals...

Spontaneous Coronary Artery Dissection (SCAD)

Spontaneous Coronary Artery Dissection (SCAD)

Clinical information and links to SCAD resources....

Women and heart disease

Women and heart disease

Women and heart disease

Heart disease is a leading cause of death in Australian women. ...

Support and resources for health care professionals

Support and resources for health care professionals

Support and resources for health care professionals

Our range of clinical and patient support resources are available for you to use in your daily practice....

The Heart Foundation Research Program

The Heart Foundation Research Program

The Heart Foundation Research Program

We are Australia’s biggest non-government funder of world-class research into heart health. Learn more about our high impact research. ...

Clinical Guidelines

Clinical Guidelines

Clinical Guidelines

Full list of clinical guidlines and references for CVD, heart failure, ACS, hypertension, atrial fibrillation, SCAD and RHD...

Heart Foundation Tick

Heart Foundation Tick

Heart Foundation Tick

The Tick Program has made a substantial contribution to the health of Australians over the past 26 years....

Improving food supply

Improving food supply

Improving food supply

The Heart Foundation supports initiatives that guide people to healthier food and drink choices. ...

Hypertension clinical information and guidelines

Hypertension clinical information and guidelines

Clinical information for diagnosis and management of hypertension....

Heart Health Checks: Information for healthcare professionals

Heart Health Checks: Information for healthcare professionals

Heart Health Checks have been supported by Medicare since the 1 April 2019....

Key Statistics: Cardiovascular Disease

Key Statistics: Cardiovascular Disease

Key data and statistics about CVD....

Life changing research currently underway

Life changing research currently underway

Life changing research currently underway

Search our current researcher's and the ground breaking research being undertaken....

Key Statistics: Risk factors for heart disease

Key Statistics: Risk factors for heart disease

Acute rheumatic fever and rheumatic heart disease

Acute rheumatic fever and rheumatic heart disease

The Australian Guideline for Prevention, Diagnosis and Management of Acute Rheumatic Fever and Rheumatic Heart Disease (2nd Edition)​....

Pilbara Aboriginal Heart Health Program

Pilbara Aboriginal Heart Health Program

Pilbara Aboriginal Heart Health Program

The program works with local communities to improve heart healthcare in Pilbara communities...

Managing your funding

Managing your funding

Managing your funding

Resources to help manage your grant, scholarship or fellowship....

Research funding programs

Research funding programs

Research funding programs

The Heart Foundation supports outstanding researchers who share our vision of an Australia free from heart disease. ...

Healthy Food Access Tasmania

Healthy Food Access Tasmania

Healthy Food Access Tasmania

We've been working on several projects with local governments across Tasmania, big and small....

Food and nutrition position statements

Food and nutrition position statements

Food and nutrition position statements

A quick guide to the evidence behind the Heart Foundation’s new dietary guidelines....

Atrial Fibrillation (AF) clinical resources

Atrial Fibrillation (AF) clinical resources

Resources and clinical information for health professionals...

Supporting SA cardiac patients and health professionals with free resources

Supporting SA cardiac patients and health professionals with free resources

Supporting SA cardiac patients and health professionals with free resources

We want to make it easier for South Australians to lead heart-healthy lives....

Women and heart disease

Women and heart disease

Women and heart disease

Heart disease is a leading cause of death in Australian women. ...

Encouraging cardiovascular research excellence in NSW

Encouraging cardiovascular research excellence in NSW

Encouraging cardiovascular research excellence in NSW

A ground-breaking collaboration bringing together for the first time the state’s most eminent cardiovascular researchers...

Physical activity resources

Physical activity resources

Physical activity resources

Resources for health professionals interested in physical activity....

Spontaneous Coronary Artery Dissection (SCAD)

Spontaneous Coronary Artery Dissection (SCAD)

Clinical information and links to SCAD resources....

Active Living NSW

Active Living NSW

Active Living NSW

Supporting physical activity and healthy built environments in NSW...

Key Statistics: Coronary Heart Disease

Key Statistics: Coronary Heart Disease

Heart failure resources for patients

Heart failure resources for patients

Educate your patients on everything they need to know about heart failure and managing their condition. ...

Australian Heart Maps

Australian Heart Maps

Australian Heart Maps

Our Heart Maps allow you to take a closer look at heart disease indicators across Australia....

Key Statistics: Heart attack

Key Statistics: Heart attack

Healthy Active by Design

Healthy Active by Design

Healthy Active by Design

Improving the design of our cities, towns, streets and buildings makes it easier for Australians to lead heart-healthy lives....

Lipid management clinical information and resources

Lipid management clinical information and resources

Lipid management resources for health professionals...

The Heart Failure Toolkit

The Heart Failure Toolkit

The Toolkit provides health services with a targeted approach to addressing readmission rates and decreasing variation in care....