Stage C/D Heart Failure (NYHA Class III–IV)

Clinical Profile: Elevated filling pressures with significant symptom burden

Recommended Approach:

  • Refer to cardiology for evaluation (ideally within 2 weeks)
  • Initiate or optimize GDMT immediately
  • Stabilize volume status with diuretics

Care Coordination:

  • Align treatment plan with cardiology
  • Initiate beta-blocker therapy based on LVEF
  • Evaluate for advanced therapies

Follow-Up Strategy:

  • Ongoing multidisciplinary management
  • Frequent reassessment and therapy adjustment