Referral to Community Heart Failure Diagnostic Clinic
Investigations (please indicate test results. BNP and ECG are essential) BNP ECG Na K Spirometry/PEFR Cr CXR Hb Heart Failure diagnostic service feedback(/09) Examination findings (full ECHO report enclosed if performed): ECHO result Other results Value BP mmHg Other findings: Weight kg Pulse rate bpm Heart rhythm ................
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