Heart failure & cardiomyopathiesGuideline or statement

AHA/ACC/ESC/WHF Expert Consensus Document: Second Universal Definition of Heart Failure (2026)

Eur Heart JPublished

  • Expert consensus document

Recommendations

As issued by the authors

  1. Heart failure (HF) phenotypes classified as reduced, preserved and improved EF categories instead of rigid LVEF cutoffs

  2. A universal classification of HF causes is proposed

  3. 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). Eur Heart J. Published 29 June 2026. doi:10.1093/eurheartj/ehag500

Summarised from the published abstract; every number is checked against it