Heart Failure


Full text NHG Guideline on Heart Failure (pdf)

Download free summary card (pdf)


The NHG Guideline on Heart failure provides recommendations for the diagnosis and treatment of chronic and acute heart failure. The guideline presents the most relevant sections for the general practitioner derived from the multidisciplinary guideline Heart failure 2010.

The diagnosis of heart failure is based on a combination of specific symptoms, findings from physical examinations consistent with heart failure, and evidence for structural or functional abnormality of the heart as. Laboratory tests, ECG and echocardiography are important tools in determining the diagnosis and cause of heart failure.

Management of heart failure includes patient education, life style interventions and drug therapy. The guideline also includes sections on palliative care, multidisciplinary continuity of care and heart failure care programs.


The guideline program of the College is designed for GPs in the context of the Dutch healthcare system. It makes no warranties concerning the efficacy of the guidelines used in other countries. The information is for educational and/or professional use only and is provided in good faith without any express or implied warranty. The College does not accept responsibility for any loss or damage occasioned by use of the information contained on the website nor from any access to the website. All access and use is at the risk of the end-user.

Additional information


Hoes AW, Voors AA, Rutten FH, Van Lieshout J, Janssen PGH, Walma EP, The guideline and the scientific justification were revised with regards to the previous version, Rutten FH, Walma EP, Kruizinga GI, Bakx HCA, Van Lieshout J



Revision Date

July 2010