Related Experiment Video
Updated: Jan 11, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
Update on clinical heart failure trials
Julian Hoevelmann1,2,3, Mert Tokcan4,5, Saarraaken Kulenthiran4,5
1Department of Internal Medicine III - Cardiology, Angiology and Intensive Care Medicine, Saarland University Hospital, Saarland University, Homburg , Germany. julian.hoevelmann@uks.eu.
Insights
Recent heart failure (HF) clinical trials are advancing treatment for reduced, mildly reduced, and preserved ejection fraction. These studies introduce novel therapies and refine patient care, impacting future clinical guidelines.
Area of Science:
- Cardiology
- Clinical Trials
- Pharmacology
Background:
- Heart failure (HF) presents a significant global health challenge with increasing prevalence.
- Despite diagnostic and management advancements, HF continues to cause substantial morbidity and mortality.
Purpose of the Study:
- To provide a comprehensive review of recent pivotal clinical trials in heart failure.
- To highlight advancements in pharmacological therapies, patient phenotyping, and comorbidity management across different HF types (HFrEF, HFmrEF, HFpEF).
Main Methods:
- Review of key clinical trials (e.g., DIGIT-HF, VICTORIA, VICTOR, STRONG-HF, SUMMIT, STEP-HFpEF) published or presented recently.
- Analysis of trial implications for current practice and future guidelines.
Main Results:
- Novel pharmacological therapies are emerging for various heart failure phenotypes.
- Patient phenotyping and comorbidity management strategies are evolving.
- Several trials demonstrate practice-changing implications for HF treatment.
Conclusions:
- The therapeutic landscape for heart failure is rapidly evolving with new trial data.
- These advancements are crucial for improving patient outcomes and shaping future treatment guidelines for all HF types.
Abstract:
Heart failure (HF) remains a major global health burden, with rising prevalence and significant morbidity and mortality despite advances in diagnosis and management. Over the past years, the therapeutic landscape of HF has evolved substantially, driven by a growing number of pivotal clinical trials addressing not only heart failure with reduced ejection fraction (HFrEF), but also heart failure with mildly reduced (HFmrEF) and preserved ejection fraction (HFpEF). The following review provides a comprehensive update on key clinical trials published or presented in the recent past such as DIGIT-HF, VICTORIA and VICTOR, STRONG-HF, SUMMIT or STEP-HFpEF trials, highlighting novel pharmacological therapies, patient phenotyping, and treatment of co-morbidities. Special attention is given to trials with practice changing implications and those shaping future guidelines.
Related Concept Videos
Heart Failure IV: Classification and Diagnostic Evaluation
Heart Failure VI: Adjunct Therapies
Heart Failure III: Clinical Manifestations
Heart Failure V: Medical Management
Heart Failure VII: Nursing Interventions
Heart Failure II: Pathophysiology

