Table 19.

Parameters to assess on follow-up clinic visits

History	•Signs and symptoms of HF decompensation •Confirming patient's understanding of disease process and symptoms to watch out for •Any hospitalizations, admission to emergency department, visits with other physicians •Review with patient and family weight, blood pressure, heart rate log
Life style	•Confirming patient's understanding and adherence to diet and fluid restriction •Activity level
Medications	•Any changes in medications since last visit/discharge •Compliance, medication reconciliation •Any difficulty taking medications: side effects, affordability
Testing	•Laboratory tests (eGFR, electrolytes, BNP etc.) •Other (as needed): ECG, chest X-ray, echocardiography, stress testing, etc.
Medication uptitration or addition as tolerated	• Aim for target doses of beta-blockers, ACE-inhibitors • Adding ivabradine, LCZ696 etc.

ACE - angiotensin converting enzyme; BNP - B-type natriuretic peptide; ECG - electrocardiogram; eGFR - estimated glomerular filtration rate HF - heart failure