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09/09/26

Primary care signals and diagnostic pathways before incident heart failure: a systematic scoping review.

Jerjes, Waseem; El-Osta, Austen; Jhass, Arnoupe; Taylor, Adam; Oh, Gabrielle; Majeed, Azeem. J Prim Care Community Health.

Collection Topics
Big Three Conditions Culture, Work System, and Implementation Epidemiology
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Summary

Diagnostic opportunities may emerge long before a formal diagnosis is recorded. This scoping review mapped observational evidence on symptoms, signs, investigations, referrals, and care settings preceding incident heart failure diagnosis in adults. The review highlights how fragmented primary-care signals and diagnostic pathways may contribute to delayed recognition, while cautioning that prediagnostic signals do not necessarily represent missed diagnoses.
Read the paper
Jerjes W, El-Osta A, Jhass A, et al. Primary care signals and diagnostic pathways before incident heart failure: a systematic scoping review. J Prim Care Community Health. Epub 2026 Sep 9.