Heart failure & cardiomyopathies
AHA/ACC/ESC/WHF Expert Consensus Document: Second Universal Definition of Heart Failure (2026)
Recommendations
As issued by the authors
Heart failure (HF) phenotypes classified as reduced, preserved and improved EF categories instead of rigid LVEF cutoffs
A universal classification of HF causes is proposed
Addresses dynamic HF trajectories (improvement, remission, recovery) and the impact of social determinants and geographic variation on HF risk and outcomes
Original publication
AHA/ACC/ESC/WHF Expert Consensus Document: Second Universal Definition of Heart Failure (2026). Circulation. Published 29 June 2026. doi:10.
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