iCARDIO Alliance Global Implementation Guidelines on Heart Failure 2025

Inconsistencies in healthcare access, varying infrastructure, resource constraints and diverse local practices as well as practical and political issues restrict the global applicability of currently available guidelines. There is a need for universal recommendations that address the unique challenges faced by patients and healthcare providers worldwide. Our iCARDIO Alliance Global Implementation Guidelines emphasize the incorporation of novel therapies, while integrating standard of care with the most up-to-date evidence to enable clinicians to optimize patient care. This document is about heart failure (HF), including acute and chronic heart failure, heart failure with reduced ejection fraction and heart failure with preserved ejection fraction as well as cardiomyopathies. Context-specific recommendations tailored to individual patient needs are highlighted providing a thorough evaluation of the risks, benefits, and overall value of each therapy, aiming to establish a standard of care that improves patient outcomes and reduces the burden of hospitalization in this susceptible population. These guidelines provide evidence-based recommendations that represent a group consensus considering the many other published guidelines that have reviewed many of the issues discussed here, but they also make new recommendations where new evidence has recently emerged. Most importantly these guidelines also provide recommendations on a number of issues where resource limitations may put constraints on the care provided to HF patients. Such "economic adjustment" recommendations aim to provide guidance for situations when "Resources are somewhat limited" or when "Resources are severely limited". Hence, this document presents not only a comprehensive but also concise update to HF management guidelines thereby aiming to provide a unified strategy for the pharmacological, non-pharmacological, invasive and interventional management of this significant global health challenge that is applicable to the needs of healthcare around the globe.

Authors

Publication Details

Journal
Heart Lung and Circulation
Published
2025-06-17
DOI
https://doi.org/10.1016/j.hlc.2025.05.094
Citations
6
Primary Topic
Heart Failure Treatment and Management
Type
article
Field-Weighted Citation Impact
8.33
Controls
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article

iCARDIO Alliance Global Implementation Guidelines on Heart Failure 2025

Elijah Nyainda Ogola, Lucrecia María Burgos, Clara Saldarriaga, Justin Adrian Ezekowitz et al.
6 citations
Heart Lung and Circulation
Heart Failure Treatment and Management
8.33
article

iCARDIO Alliance Global Implementation Guidelines on Heart Failure 2025

Elijah Nyainda Ogola, Lucrecia María Burgos, Clara Saldarriaga, Justin Adrian Ezekowitz, Michael Böhm, Mark C. Petrie, Ishaque Hameed, Maria Rosa Costanzo, Fausto José Pinto, Amina Rakisheva, Javed Butler, P. Christian Schulze, Anuradha Lala, Rhonda E. Monroe, Fernando Bacal, Dulce Brito, Andrew Paul Sindone, Tiny Jaarsma, Muhammad Shahzeb Khan, Andrew J.S. Coats, Marvin A. Konstam, Lynne W. Stevenson, John James Atherton, Nqoba Tsabedze, Ralph Stephan von Bardeleben, Harriette G.C. Van Spall, William T. Abraham, Juan Esteban Gómez‐Mesa, Hiroyuki Tsutsui, Vijay Chopra, Tzung‐Dau Wang, Yuhui Zhang, Shelley R. Zieroth, Hadi Skouri, Naoki Sato, Mohammad Zubaid, Albertino Antonio Moura Damasceno, Magdy Abdelhamid, Víctor Rossel, Jing YU, Sivadasanpillai Harikrishnan, Ileana L. Piña, Stefan D. Anker, Carlos E. Ramos, David Sim, John R. Teerlink, Offer Amir, Kadhim Sulaiman, Girish Chandrakant Rajadhyaksha, James L. Januzzi, Nikhil Balankhe, Vinayagam Palaniappan, Aistė Štaraitė
article en
6 citations

Abstract

Inconsistencies in healthcare access, varying infrastructure, resource constraints and diverse local practices as well as practical and political issues restrict the global applicability of currently available guidelines. There is a need for universal recommendations that address the unique challenges faced by patients and healthcare providers worldwide. Our iCARDIO Alliance Global Implementation Guidelines emphasize the incorporation of novel therapies, while integrating standard of care with the most up-to-date evidence to enable clinicians to optimize patient care. This document is about heart failure (HF), including acute and chronic heart failure, heart failure with reduced ejection fraction and heart failure with preserved ejection fraction as well as cardiomyopathies. Context-specific recommendations tailored to individual patient needs are highlighted providing a thorough evaluation of the risks, benefits, and overall value of each therapy, aiming to establish a standard of care that improves patient outcomes and reduces the burden of hospitalization in this susceptible population. These guidelines provide evidence-based recommendations that represent a group consensus considering the many other published guidelines that have reviewed many of the issues discussed here, but they also make new recommendations where new evidence has recently emerged. Most importantly these guidelines also provide recommendations on a number of issues where resource limitations may put constraints on the care provided to HF patients. Such "economic adjustment" recommendations aim to provide guidance for situations when "Resources are somewhat limited" or when "Resources are severely limited". Hence, this document presents not only a comprehensive but also concise update to HF management guidelines thereby aiming to provide a unified strategy for the pharmacological, non-pharmacological, invasive and interventional management of this significant global health challenge that is applicable to the needs of healthcare around the globe.

Heart Lung and CirculationVol. 34(7)
Good health and well-being
Openalex Percentile: Top 2%
Heart Failure Treatment and Management
8.33
DOIOpen Access PDFOpenAlex
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