Kwok, CS ORCID: https://orcid.org/0000-0001-7047-1586, Burke, H, McDermott, S, Welsh, V, Barker, D, Patwala, A, Duckett, S, Satchithananda, D and Mallen, CD ORCID: https://orcid.org/0000-0002-2677-1028 (2022) Missed Opportunities in the Diagnosis of Heart Failure: Evaluation of Pathways to Determine Sources of Delay to Specialist Evaluation. Current Heart Failure Reports.

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Abstract

Missed opportunities are incidents where different actions by those involved could have resulted in more desirable events. Heart failure is a complex clinical syndrome presenting as symptoms and signs common to other diagnoses, in patients frequently with multiple co-morbidities. Heart failure itself is not a diagnosis, but is the common clinical presentation of a variety of cardiac conditions. Correct diagnosis involves amalgamation of the clinical presentation, the results of general and specific investigations, and the clinician's ability to synthesize the overall picture. It is not surprising therefore that misdiagnosis can occur at any level of the heart failure journey and can occur because of patient, clinician, and health economy related factors. Delayed diagnosis leads to excess morbidity and mortality in these patients. In this review, we define the pathways for diagnosis of heart failure and then highlight missed opportunities related to delay and misdiagnosis. In addition, we consider how the earlier opportunity may impact patients, clinicians and health services.

Item Type: Article
Additional Information: The final version of this publication can be obtained directly from the publisher. Refer to any relevant terms and conditions.
Uncontrolled Keywords: heart failure; diagnosis; pathways; missed opportunities
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC666 Diseases of the circulatory (Cardiovascular) system
Divisions: Faculty of Medicine and Health Sciences > School of Medicine
Related URLs:
Depositing User: Symplectic
Date Deposited: 09 Aug 2022 12:52
Last Modified: 09 Aug 2022 12:52
URI: https://eprints.keele.ac.uk/id/eprint/11008

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