Heart failure means the heart is no longer pumping efficiently enough to meet the body's needs. It affects approximately one million people in the UK and is one of the most common reasons for hospital admission in adults over 65.
Dr Matthew Balerdi provides rapid assessment for heart failure in Hull, Grimsby and Scunthorpe including NT-proBNP testing, ECG, and echocardiography with same-day specialist interpretation.
Heart failure is a clinical syndrome in which the heart cannot pump blood efficiently enough to meet the body's demands. It is not a single disease but a consequence of damage or strain on the heart muscle from various causes.
There are two main types. HFrEF (heart failure with reduced ejection fraction) occurs when the left ventricle contracts weakly, with an LVEF below 40%. HFpEF (heart failure with preserved ejection fraction) occurs when the heart muscle is stiff and does not relax properly, with an LVEF of 50% or above.
Heart failure is classified using the NYHA functional classification, which grades symptom severity from Class I (no limitation) to Class IV (symptoms at rest). This classification helps guide treatment decisions and monitor progress.
Ordinary physical activity does not cause symptoms
Comfortable at rest; ordinary activity causes symptoms
Comfortable at rest; less than ordinary activity causes symptoms
Symptoms at rest; any physical activity increases discomfort
Heart failure can result from a range of conditions that damage or place excessive strain on the heart muscle.
Diagnosis involves clinical assessment, blood tests, and cardiac imaging to confirm heart failure, identify the type, and determine the underlying cause.
Treatment depends on the type and severity of heart failure. For HFrEF, four key drug classes — the "Fantastic Four" — each independently reduce mortality.
Each of these independently reduces mortality:
Self-management is a cornerstone of heart failure care. The following measures help maintain stability and reduce the risk of hospital admission.
Heart failure symptoms can change. Use the guidance below to decide on the appropriate level of response.
Based on your symptoms and clinical assessment, Dr Balerdi may recommend one or more of the following investigations.
Reviewed by Dr Matthew Balerdi, Consultant Imaging Cardiologist (FRCP) — Last reviewed: April 2026
Don't wait — early assessment and optimal treatment can significantly improve outcomes. Schedule your consultation today.