Heart failure & cardiomyopathiesGuideline or statement
AHA/ACC/ESC/WHF Expert Consensus Document: Second Universal Definition of Heart Failure (2026)
- Expert consensus document
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:10.1161/cir.0000000000001455
Summarised from the published abstract; every number is checked against it