Follow-up of parameters (weight, blood pressure, heart rate) :

• This is best measured by the patient at home.
• In the event of a sudden change in any of these parameters and/or symptoms, the patient, the environment or the nurse must consult the doctor and/or the heart failure nurse.
• It is best to register these parameters via:
  • A heart failure diary (provided by the heart failure clinic) and/or in the home care record.
  • A remote monitoring system (by filling in in an application, or automatically via a scale and a blood pressure monitor connected to a remote monitoring platform).

Frequency of monitoring creatinine and creatinine clearance in known chronic renal failure:

• Stage 3a (GFR < 60 ml/min) : every 6 months.
• Stage 3b (GFR < 45 ml/min) : every 4 months.
• Stage 4 (GFR < 30 ml/min) : every 3 months.
• Stage 5 (GFR < 15 ml/min) : every month.