Pulse rates rise as doctors question draft heart failure guidelines

Extending the diagnostic cut-offs could result in overtreatment, says GP college

Doctors are warning that new cut-offs for diagnosing heart failure with reduced ejection fraction contained in draft guidelines could result in overtreatment.


The RACGP says the plan will affect a large number of patients and it fears the potential harms have not been fully appraised.

The draft, developed by the Heart Foundation, extends the reduced ejection fraction (HFrEF) category for patients with heart failure from an EF of less than 40% to an EF of less than 50%.

This puts Australia out of step with US and European guidelines. The guideline’s authors say they have