See also the Heart Failure page.
Patients with suspected heart failure should have an NT-proBNP test before deciding on next steps:
Patients with an NT-proBNP more than 2000pg/ml - do not request an echo directly, this will be done by the community heart failure service in a one-stop clinic. See the treatment pathway on the heart failure page.
Patients with an NT-proBNP 400-2000pg/ml - request an echo directly and follow the treatment pathway on the heart failure page. After reviewing the echo report and discussion with patient, if appropriate please refer to the heart failure or cardiology service in secondary care.
The NT-proBNP result must be provided on the echo request to allow for appropriate triaging.
If the patient has had a previous echo, please include the date of study and summary of findings in the request.
Please review the indications for echo from the British Society of Echocardiography before requesting:
Direct access to echocardiograms in children aged under 16 is not available to GPs and referrals should be made to a paediatric cardiologist via eRS.
Referrals for Echo should be made on ICE:
Advice on Echo Requests
British Society for Echocardiography posters:
Clinical Indications and Triage of Echocardiography - Heart valve disease
Clinical Indications and Triage of Echocardiography - Out-patient requests (excluding the follow-up of established valve disease)
Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.
Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.