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Summary and Comparison of the 2022 ACC/AHA/HFSA and 2021 ESC Heart Failure Guidelines

Sarah Badger1, James McVeigh1, Praveen Indraratna2,3

  • 1Department of Cardiology, Prince of Wales Hospital, Randwick, Australia.

Cardiology and Therapy
|August 31, 2023
PubMed

Insights

This review compares 2022 ACC/AHA/HFSA and 2021 ESC heart failure (HF) guidelines. It highlights similarities and differences to aid clinicians in evidence-based HF management.

Area of Science:

  • Cardiology
  • Clinical Practice Guidelines

Background:

  • Heart failure (HF) management relies on evidence-based guidelines.
  • Key guidelines were released by ACC/AHA/HFSA (2022) and ESC (2021).

Purpose of the Study:

  • To provide an overview of the 2022 ACC/AHA/HFSA and 2021 ESC heart failure guidelines.
  • To compare and contrast these major guidelines, noting differences due to publication timelines.
  • To support clinicians in making informed decisions for heart failure patient care.

Main Methods:

  • Comprehensive review of the 2022 ACC/AHA/HFSA and 2021 ESC guidelines.
  • Inclusion of insights from pertinent clinical trials.
  • Comparative analysis of guideline recommendations.

Main Results:

  • Significant alignment exists between the two guideline sets.
  • Notable differences are identified, primarily attributed to differing publication dates.
  • The review outlines specific areas of divergence in recommendations.

Conclusions:

  • Clinicians can utilize this comparison for optimized heart failure diagnosis and management.
  • Harmonization of future guidelines may be facilitated by understanding current discrepancies.
  • Evidence-based practice in cardiology is advanced through guideline synthesis.

Keywords:
Clinical trialsGuideline directed medical therapyHeart failureHeart failure with preserved ejection fractionHeart failure with reduced ejection fraction

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