Natriuretic peptide testing and heart failure diagnosis in primary care: diagnostic accuracy study.
Clare J TaylorJose M Ordóñez-MenaSarah L Lay-FlurrieClare R GoyderKathryn S TaylorNicholas Robert JonesAndrea K RoalfeFrederick David Richard HobbsPublished in: The British journal of general practice : the journal of the Royal College of General Practitioners (2022)
At the higher NICE chronic HF guideline NP thresholds, one in five cases are initially missed in primary care but the lower ESC thresholds require more diagnostic assessments. NP is a reliable 'rule-out' test at both cut-points. The optimal NP threshold will depend on the priorities and capacity of the healthcare system.