2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Issue 18 (1st April 2022)

• Record Type: Journal Article
• Authors: Heidenreich, Paul A.; Bozkurt, Biykem; Aguilar, David; Allen, Larry A.; Byun, Joni J.; Colvin, Monica M.; Deswal, Anita; Drazner, Mark H.; Dunlay, Shannon M.; Evers, Linda R.; Fang, James C.; Fedson, Savitri E.; Fonarow, Gregg C.; Hayek, Salim S.; Hernandez, Adrian F.; Khazanie, Prateeti; Kittleson, Michelle M.; Lee, Christopher S.; Link, Mark S.; Milano, Carmelo A.; Nnacheta, Lorraine C.; Sandhu, Alexander T.; Stevenson, Lynne Warner; Vardeny, Orly; Vest, Amanda R.; Yancy, Clyde W.
• Is Part Of: Circulation. Volume 145:Issue 18(2022)
• Page Start: e876
• Page End: e894
• Publication Date: 2022-04-01
• Subjects: AHA Scientific Statements -- heart failure -- heart failure with reduced ejection fraction -- heart failure with preserved ejection fraction -- heart failure with mildly reduced ejection fraction -- systolic heart failure -- heart failure rehabilitation -- cardiac failure -- chronic heart failure -- acute decompensated heart failure -- cardiogenic shock -- beta blockers -- mineralocorticoid receptor antagonists -- ACE inhibitors -- angiotensin and neprilysin receptor antagonist -- sacubitril valsartan -- angiotensin receptor antagonist -- sodium glucose co-transporter 2 -- SGLT2 inhibitors -- cardiac amyloidosis -- atrial fibrillation -- congestive heart failure -- guideline-directed medical therapy -- diabetes -- cardiomyopathy -- valvular heart disease -- mitral regurgitation -- cardiomyopathy in pregnancy -- reduced ejection fraction -- right heart pressure -- palliative care -- cardio-oncology -- social determinants of health; Blood -- Circulation -- Periodicals; Cardiovascular system -- Periodicals; Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; Blood Circulation; Cardiovascular System; Vascular Diseases; 616.1
• DOI: 10.1161/CIR.0000000000001062
• Languages: English
• ISSNs: 0009-7322

Abstract

Abstract : Aim: The "2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure" replaces the "2013 ACCF/AHA Guideline for the Management of Heart Failure" and the "2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure." The 2022 guideline is intended to provide patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with heart failure. Methods: A comprehensive literature search was conducted from May 2020 to December 2020, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from MEDLINE (PubMed), EMBASE, the Cochrane Collaboration, the Agency for Healthcare Research and Quality, and other relevant databases. Additional relevant clinical trials and research studies, published through September 2021, were also considered. This guideline was harmonized with other American Heart Association/American College of Cardiology guidelines published through December 2021. Structure: Heart failure remains a leading cause of morbidity and mortality globally. The 2022 heart failure guideline provides recommendations based on contemporary evidence for the treatment of these patients. The recommendations present an evidence-based approach to managing patients with heart failure, with the intent to improve quality of care and align with patients' interests. Many recommendations from the earlier heart failure guidelines have been updated with new evidence, and new recommendations have been created when supported by published data. Value statements are provided for certain treatments with high-quality published economic analyses.