Monitoring
During the acute phase all patients require cardiac monitoring. Other types of monitoring might also be indicated, depending on drugs used: for example, renal function, electrolytes, heart rate, blood pressure, and overall clinical status should be closely monitored during treatment with beta-blockers, aldosterone antagonists, or angiotensin-converting enzyme inhibitors; renal function, weight, and urine output should be closely monitored during diuretic therapy.[23]
After discharge from hospital, a follow-up clinical assessment should be undertaken by a member of the specialist heart failure team within 2 weeks.[23] Follow-up arrangements should be clearly documented.[4]
Once the acute phase is over and patients are stable and considered to have stable heart failure, they should be encouraged to do regular aerobic exercise, and it is recommended that they be enrolled in a multidisciplinary care management programme.[1]
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