2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

ESC Clinical Practice Guidelines

25 Aug 2023

Since the publication of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure, there have been several randomized controlled trials that should change patient management ahead of the next scheduled full guideline. This 2023 Focused Update addresses changes in recommendations for the treatment of HF because of this new evidence. We considered new, published evidence up until the 31 March 2023. After considering and discussing many new major randomized controlled clinical trials and meta-analyses, the Task Force voted to include those that would lead to Class IIa and I recommendations. This has led to us updating some of our guidance for the treatment of HFmrEF, HFpEF, comorbidities and Acute HF.

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Topic(s):

Chronic Heart Failure

Acute Heart Failure

Heart Failure

Endorsed by cardiac societies

Armenian Cardiologists Association , Azerbaijan Society of Cardiology , Belgian Society of Cardiology , Association of Cardiologists of Bosnia & Herzegovina , British Cardiovascular Society , Egyptian Society of Cardiology , Finnish Cardiac Society , Georgian Society of Cardiology , German Cardiac Society , Hellenic Society of Cardiology , Hungarian Society of Cardiology , Irish Cardiac Society , Italian Federation of Cardiology , Kosovo Society of Cardiology , Kyrgyz Society of Cardiology , Lithuanian Society of Cardiology , Luxembourg Society of Cardiology , Maltese Cardiac Society , Moroccan Society of Cardiology , Polish Cardiac Society , Portuguese Society of Cardiology , San Marino Society of Cardiology , Cardiology Society of Serbia , Slovak Society of Cardiology , Spanish Society of Cardiology , Swiss Society of Cardiology , Turkish Society of Cardiology

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Corrigendum published : 23 November 2023

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Access the 2021 HF 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....