Show Notes
In this episode of OSCE Talk, Matthew and Peter discuss heart failure — a core topic in cardiology and a common OSCE presentation. They explore the key differences between left- and right-sided heart failure, how to recognise acute versus chronic cases, and what to ask during a focused patient history. You’ll also learn about diagnostic tests such as BNP and echocardiography, plus the four pillars of heart failure management that every student should know. A simulated patient history helps bring the theory to life, showing how to structure your questions and interpret findings in real time.
Key Takeways Heart failure presents in a variety of ways — think beyond breathlessness.
Left-sided HF causes pulmonary symptoms; right-sided HF leads to peripheral oedema.
Myocardial infarction is a major risk factor.
BNP and echocardiograms are essential for diagnosis.
Management includes ACE inhibitors, beta blockers, and diuretics.
Ask about orthopnoea and paroxysmal nocturnal dyspnoea (PND).
Use the NYHA classification to assess functional severity.
Acute pulmonary oedema is a medical emergency — act fast.
Communicate clearly to reduce patient anxiety and improve understanding.
00:00 – Introduction to Heart Failure 02:20 – Understanding Heart Failure Types and Causes 02:58 – Diagnostic Criteria for Heart Failure 05:40 – Management and Treatment of Heart Failure 08:00 – Patient History Simulation for Heart Failure 11:57 – Clinical Examination and Investigations 15:04 – Chronic vs Acute Heart Failure
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💬 Want to hear us cover another cardiology topic? Let us know below — and subscribe for weekly, practical OSCE guides. Disclaimer OSCE Talk is an educational resource designed primarily to help healthcare students prepare for clinical examinations. Episodes on the key, exam-relevant and salient points of each topic and are not intended to provide a complete or exhaustive review of clinical management. Content is for educational puporses only and should not be used as a substitute for formal teaching, clinical supervision, local policies or current national guidance. While we aim to keep our content accurate and useful, medical guidance changes over time and episodes may contain omissions or necessary simplifications. Always refer to appropiate guidance when making clinical decisions or caring for patients.
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🎧 Subscribe to OSCE Talk Premium here 👇 https://members.spotify.com/to/osce-talk
🎧 Subscribe to OSCE Talk Premium here 👇 https://members.spotify.com/to/osce-talk