Pathway Referral Tool

Does your patient have radiographically proven heart failure?*

This field is required.

If clinical suspicion of HF, obtain BNP/NT-Pro-BNP. Is it elevated?*

This field is required.

Consider other DDx

Order/Obtain Echocardiography

Does your patient have persistent NYHA 3-4 symptoms?*

This field is required.

NYHA 2+ at least 2 hospital admissions or ER visits for decompensated HF in the past 12 months*

This field is required.

NYHA 2+ 1 hospital admission or ER visits for decompensated HF and with a significant comordibity (eg. CKD, arrhythmia, COPD)*

This field is required.

Is the case a special request by internal medicine or cardiology for advanced HF therapies or a complex case?*

This field is required.

Recommendation: Referral to a community cardiologist following your usual referral practices. Please refer to College of Physicians and Surgeons of Manitoba (CPSM) directory for referrals . CPSM physician directory lists are updated daily.