what test is the most accurate for HF - British Heart Fou...

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what test is the most accurate for HF

NLGA profile image
NLGA
12 Replies

I have had a echo which showed mild MR only really and the cardiologist was happy with it but my blood BNP test was 485

I do have none persistent AF so maybe on that day of the test I was in AF ( I don’t know )

What test can be judged the most accurate in members view

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NLGA profile image
NLGA
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12 Replies
Yumz199725 profile image
Yumz199725

I would say an echo but maybe a cardiac MRI would be able to show it in more detail.

NLGA profile image
NLGA in reply toYumz199725

thank you

I haven’t been offered one of them only the echo which was ok then a bNP which was high 485 so it’s kind of confused me

andrea_waffle7 profile image
andrea_waffle7 in reply toNLGA

when I was offered an MRI my BNP was over 900 and I had many symptoms so I wonder if they consider your BNP not a big concern? My BNP has now started to come down and when I reached 400 my cardiologist was pleased, with medication it has continued to come down. Good luck

NLGA profile image
NLGA in reply toandrea_waffle7

that’s interesting Andrea thanks for sharing that

When I google BNP it seems to be important in the diagnosis how did you reduce it was it solely medication?

Do you have AF as I trying to see if there is a link between AF and BNP scores

I’m at 485 up from 180 so a bit down in the dumps

andrea_waffle7 profile image
andrea_waffle7

yes purely medication the main one that seemed to do the trick is Dapaglozin, I have had an ablation many years ago that work well but they said medication this time round.

Beardie100 profile image
Beardie100

You need the echo to see exactly what is going on and get the correct diagnosis and treatment.

Lcfc85 profile image
Lcfc85 in reply toBeardie100

I was told an echo isn’t 100% accurate either

NLGA profile image
NLGA in reply toBeardie100

had one now there sending me for a different test as that was ok which makes me wonder about the echo as that they were happy that it didn’t show HF

Beardie100 profile image
Beardie100

Medicine is rarely 100% accurate. It is good enough for me.

Ads568 profile image
Ads568

Hello NLGA,

I believe BNP is a pretty accurate indicator of how much the heart is struggling. With heart failure, how the patient is feeling is relied on heavily to drive treatment, along with many other considerations.

I think Cardiac MRI would be the ultimate test, but not necessary at this stage I guess. If the cardiologist felt you needed more tests, I assume he’d have requested them.

As long as you’ve been open & honest with your consultant about how your condition affects you & your day to day life (or not), I’d take his word for it that all is ok.

Best wishes

NLGA profile image
NLGA in reply toAds568

my bNP was 2350 in hospital with AF it’s currently 484 so I believe AF can give strange reading

Fred1954 profile image
Fred1954

I had what was referred to as a special echo where they inject a substance that enhances the contrast and helped with my diagnosis of HF. Next best thing to MRI which would have been trickier with my pacemaker now.

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