2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL, Johnson MR, Kasper EK, Levy WC, Masoudi FA, McBride PE, McMurray JJ, Mitchell JE, Peterson PN, Riegel B, Sam F, Stevenson LW, Tang WH, Tsai EJ, Wilkoff BL American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. A proposed definition and classification.
© 2021 European Society of Cardiology and Elsevier, Inc.īraunwald E. This includes HF with reduced ejection fraction (HFrEF): symptomatic HF with LVEF ≤40% HF with mildly reduced ejection fraction (HFmrEF): symptomatic HF with LVEF 41-49% HF with preserved ejection fraction (HFpEF): symptomatic HF with LVEF ≥50% and HF with improved ejection fraction (HFimpEF): symptomatic HF with a baseline LVEF ≤40%, a ≥10 point increase from baseline LVEF, and a second measurement of LVEF > 40%.Ĭardiomyopathy Definition of heart failure HFmrEF HFpEF HFrEF Heart failure Stages of heart failure. Finally, we propose a new and revised classification of HF according to left ventricular ejection fraction (LVEF). We also propose revised stages of HF as: At risk for HF (Stage A), Pre-HF (Stage B), Symptomatic HF (Stage C) and Advanced HF (Stage D). In this document, we propose a universal definition of heart failure (HF) as a clinical syndrome with symptoms and/or signs caused by a structural and/or functional cardiac abnormality and corroborated by elevated natriuretic peptide levels and/or objective evidence of pulmonary or systemic congestion.