Letters NICE guidelines on acute heart failure

Authors’ reply to Dalzell and Cannon and Satchithananda and colleagues

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g6703 (Published 12 November 2014) Cite this as: BMJ 2014;349:g6703
  1. Katharina Dworzynski, senior research fellow1,
  2. Emmert Roberts, research fellow2,
  3. Andrew Ludman, specialist trainee adviser3,
  4. Jonathan Mant, professor of primary care research4
  1. 1National Clinical Guideline Centre, Royal College of Physicians, London NW1 4LE
  2. 2Maudsley Hospital, South London and the Maudsley Mental Health Trust, London, UK
  3. 3Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
  4. 4Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
  1. Katharina.Dworzynski{at}rcplondon.ac.uk

We agree with Dalzell and Cannon that, with the possible exception of diuretics, no single drug treatment has been shown to improve outcomes in acute heart failure.1 The National Institute for Health and Care Excellence (NICE) guideline is worded to reflect this lack of evidence.2

Satchithananda and colleagues are correct—we did not formally …

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