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2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

ESC Clinical Practice Guidelines

The aim of this ESC guideline is to help health professionals manage people with heart failure (HF) according to the best available evidence. Fortunately, we now have a wealth of clinical trials to help us select the best management to improve the outcomes for people with HF; for many, it is now both preventable and treatable. This guideline provides practical, evidence-based recommendations.  The format of the previous 2016 ESC HF Guidelines was revised to make each phenotype of HF stand-alone in terms of its diagnosis and management. The therapy recommendations mention the treatment effect supported by the class and level of evidence and are presented in tables. In this guideline, we have decided to focus on the diagnosis and treatment of HF, not on its prevention. 

Chronic Heart Failure
Acute Heart Failure
Heart Failure


Main resources


Full Text and Related Materials

Full text
https://doi.org/10.1093/eurheartj/ehab368

Corrigendum [published 14 October 2021]

https://doi.org/10.1093/eurheartj/ehab670

Declaration of interest

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Scientific Presentation at ESC Congress 2021

Relive the presentation as it was live.

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More resources

Congress News Article

Insights from the Chairs of the Guidelines Task Force.

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ESC TV Interview

The essentials of the Guidelines in less than four minutes.

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Slide set

Educational material.

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ESC Pocket Guidelines App

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Guidelines version available to download
 2021
 https://doi.org/10.1093/eurheartj/ehab368
Previous version available to download
 2016
 EHJ (2016) 37 (27):2129-2200 - https://doi.org/10.1093/eurheartj/ehw128
 2016
 doi.org/10.1093/eurheartj/ehw383
 2017
 doi.org/10.1093/eurheartj/ehx158
 2016
 2016 Editorial ESC Guidelines on Heart Failure
 2016
 2016 Heart Failure ESC Slide-set
 2016
 2016 Addenda Web Tables - EHJ doi:10.1093/eurheartj/ehw128
 2012
 EHJ 2012;33:1787-1847
 2012
 2012 Corrigendum FT
 2012
 Eur Heart J -2012 EHJ doi:10.1093/eurheartj/ehs104