2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

2022 Circulation 1,617 citations

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.

Keywords

ACE inhibitorsAHA Scientific StatementsSGLT2 inhibitorsacute decompensated heart failureangiotensin and neprilysin receptor antagonistangiotensin receptor antagonistatrial fibrillationbeta blockerscardiac amyloidosiscardiac failurecardio-oncologycardiogenic shockcardiomyopathycardiomyopathy in pregnancychronic heart failurecongestive heart failurediabetesguideline-directed medical therapyheart failureheart failure rehabilitationheart failure with mildly reduced ejection fractionheart failure with preserved ejection fractionheart failure with reduced ejection fractionmineralocorticoid receptor antagonistsmitral regurgitationpalliative carereduced ejection fractionright heart pressuresacubitril valsartansocial determinants of healthsodium glucose co-transporter 2systolic heart failurevalvular heart disease

MeSH Terms

American Heart AssociationCardiologyCardiovascular SystemHeart FailureHumansResearch ReportUnited States

Affiliated Institutions

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Publication Info

Year
2022
Type
article
Volume
145
Issue
18
Pages
e895-e1032
Citations
1617
Access
Closed

Citation Metrics

1617
OpenAlex
162
Influential

Cite This

Paul A. Heidenreich, Biykem Bozkurt, David Aguilar et al. (2022). 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation , 145 (18) , e895-e1032. https://doi.org/10.1161/cir.0000000000001063

Identifiers

DOI
10.1161/cir.0000000000001063
PMID
35363499

Data Quality

Data completeness: 86%