Related Experiment Video
Updated: Feb 4, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
[Treatment of heart failure in patients with reduced left- ventricular ejection fraction]
1haneis@rm.dk.
Insights
Heart failure treatments have advanced significantly, reducing mortality through standard medications like ACE-inhibitors and beta blockers. New therapies and devices offer further improvements for patients with reduced ejection fraction.
Area of Science:
- Cardiology
- Pharmacology
- Medical Technology
Background:
- Heart failure with reduced ejection fraction (HFrEF) treatment has evolved over 30 years.
- Significant reductions in mortality have been achieved.
- Standard therapies include ACE-inhibitors, beta blockers, and MRAs for HFrEF.
Purpose of the Study:
- To review the advancements in HFrEF treatment.
- To highlight current standard and novel therapeutic strategies.
- To discuss the impact of these treatments on mortality.
Main Methods:
- Review of established and emerging treatments for HFrEF.
- Analysis of pharmacological interventions.
- Inclusion of device-based therapies.
Main Results:
- Standard treatments (ACE-inhibitors, beta blockers, MRAs) have lowered HFrEF mortality.
- Diuretics remain crucial for managing fluid overload.
- Novel therapies like ARNI and devices (CRT, ICDs) further improve outcomes.
Conclusions:
- Modern HFrEF management involves a multi-faceted approach.
- Pharmacological advancements and device therapies significantly reduce mortality.
- Continuous development offers better prognosis for HFrEF patients.
Abstract:
Treatment of heart failure with reduced ejection fraction has undergone an enormous development over the latest three decades resulting in lower mortality. Standard treatment now includes use of angiotensin-converting-enzyme (ACE)-inhibitors, beta blockers and mineralocorticoid receptor antagonists. Diuretics are still the cornerstone in the symptomatic treatment of fluid retention. Combined angiotensin II receptor blockade and neprilysin inhibition is a new treatment option instead of ACE-inhibition for selected patients. Cardiac resynchronisation therapy and prophylactic implantable cardiac defibrillators further reduce mortality.
Related Concept Videos
Heart Failure II: Pathophysiology
Pathophysiology of Heart Failure
Heart Failure I: Introduction
Heart Failure VI: Adjunct Therapies
Heart Failure Drugs: Diuretics
Heart Failure V: Medical Management

