{"id":4816,"date":"2025-06-06T12:53:12","date_gmt":"2025-06-06T10:53:12","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=4816"},"modified":"2025-06-09T15:42:46","modified_gmt":"2025-06-09T13:42:46","slug":"icardio-alliance-global-implementation-guidelines-on-heart-failure-2025","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/icardio-alliance-global-implementation-guidelines-on-heart-failure-2025\/","title":{"rendered":"iCARDIO Alliance Global Implementation Guidelines on Heart Failure 2025"},"content":{"rendered":"
\r\n
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\r\n \r\n Vijay Chopra* (India), Muhammad Shahzeb Khan (USA), Magdy Abdelhamid (Egypt), William T. Abraham (USA), Offer Amir (Israel), Stefan D. Anker (Germany), John J. Atherton (Australia), Fernando Bacal (Brazil), Ralph Stephan von Bardeleben (Germany), Dulce Brito (Portugal), Lucrecia Maria Burgos (Argentina), Javed Butler (USA), Maria Rosa Costanzo (USA), Albertino Damasceno (Mozambique), Justin A. Ezekowitz (Canada), Ishaque Hameed (USA), Sivadasanpillai Harikrishnan (India), Tiny Jaarsma (Sweden), Anuradha Lala (USA), Ileana L. Pi\u00f1a (USA), Clara Saldarriaga (Colombia), David Sim (Singapore), John R. Teerlink (USA), Nqoba Tsabedze (South Africa), Hiroyuki Tsutsui (Japan), Jing Yu (China), Yuhui Zhang (China), Mohammad Zubaid (Kuwait), Nikhil Balankhe (India), Juan Esteban Gomez\u00adMesa (Colombia), James L. Januzzi (USA), Marvin Konstam (USA), Rhonda Monroe (USA), Elijah Ogola (Kenya), Vinayagam Palaniappan (India), Mark C. Petrie (UK), Fausto J. Pinto (Portugal), Girish C. Rajadhyaksha (India), Amina Rakisheva (Kazakhstan), Carlos E. Ramos (Honduras), Victor Rossel (Chile), Naoki Sato (Japan), P. Christian Schulze (Germany), Andrew Sindone (Australia), Hadi N. Skouri (Lebanon; United Arab Emirates), Harriette G.C. Van Spall (Canada), Aist\u0117 \u0160tarait\u0117 (Lithuania), Lynne Warner Stevenson (USA), Kadhim Sulaiman (Oman), Tzung\u00adDau Wang (Taiwan), Michael B\u00f6hm# (Germany), Andrew J.S. Coats# (Australia), Shelley Zieroth*# (Canada) \r\n <\/div> \r\n<\/div> \r\n
\r\n Copyright:<\/strong> \u00a9 2025 The Authors. Global Cardiology is published by PAGEPress Publications.\r\n

\r\n This implementation guideline are proudly co-published by Global Cardiology and the Cardiovascular Journal of Africa.<\/div>\r\n
<\/div> \r\n
\r\n
\r\n Abstract \r\n <\/div> \r\n \r\n
\r\n \r\n \r\n \r\n \r\n \r\n Inconsistencies in healthcare access, varying infrastructure, resource constraints and diverse local practices as well as practical and political issues restrict the global applicability of currently available guidelines. There is a need for universal recommen\u00addations that address the unique challenges faced by patients and healthcare providers worldwide. Our iCARDIO Alliance Global Implementation Guidelines emphasize the incorporation of novel therapies, while integrating standard of care with the most up-\u00adto-\u00addate evidence to enable clinicians to optimize patient care. This document is about heart failure (HF), including acute and chronic heart failure, heart failure with reduced ejection fraction and heart failure with preserved ejection fraction as well as cardiomyopathies. Context\u00ad specific recommendations tailored to individual patient needs are highlighted providing a thorough evaluation of the risks, benefits, and overall value of each therapy, aiming to establish a standard of care that im\u00adproves patient outcomes and reduces the burden of hospitalization in this susceptible population. These guidelines provide evidence \u00adbased recommendations that represent a group consensus considering the many other published guidelines that have reviewed many of the issues discussed here, but they also make new recommendations where new evidence has recently emerged. Most importantly these guidelines also provide recommendations on a number of issues where resource limitations may put constraints on the care provided to HF patients. Such \u201ceconomic adjustment\u201d recommendations aim to provide guid\u00adance for situations when \u201cResources are somewhat limited\u201d or when \u201cResources are severely limited\u201d. Hence, this document presents not only a comprehensive but also concise update to HF management guidelines thereby aiming to provide a unified strategy for the pharmacological, non\u00adpharmacological, invasive and interventional management of this significant global health challenge that is applicable to the needs of healthcare around the globe. \r\n
\r\n \r\n <\/div> \r\n <\/div> \r\n \r\n \r\n
\r\n \r\n Keywords:<\/strong> \r\n \r\n heart failure; chronic heart failure; acute heart failure; therapy; guidelines; iCARDIO Alliance<\/strong> \r\n \r\n <\/div> \r\n \r\n
\r\n \r\n Submitted:<\/strong> April 11, 2025; \r\n Accepted:<\/strong> April 16, 2025 \r\n
\r\n Cardiovasc J Afr 2024; 36<\/b>: 35-62<\/em>\r\n
Volume 36, Issue 2<\/strong>
\r\n \r\n <\/div> \r\n \r\n
\r\n DOI Citation Reference: dx.doi.org\/10.4081\/cardio.2025.70 \r\n <\/div> \r\n \r\n \r\n
\r\n \r\n Heart Failure Programme and Research, Max Super Specialty Hospital, Press Enclave Road, Mandir Marg, Saket Institutional Area, Saket, New Delhi, 110017<\/strong>
\r\n \r\n Vijay Chopra, MD
\r\n \r\n
\r\n \r\n Y3014409 Tache Avenue, Winnipeg, Manitoba, R2H2A6, Canada<\/strong>
\r\n Shelley Zieroth, MD

\r\n \r\n [soshsc hide=\"logged\"]\r\n You need to be logged in to view and download<\/a> the full text PDF version. Register for a free account?<\/a><\/strong>

[\/soshsc]\r\n \r\n \r\n \r\n <\/div>\r\n \r\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

Inconsistencies in healthcare access, varying infrastructure, resource constraints and diverse local practices as well as practical and political issues restrict the global applicability of currently available guidelines. The iCARDIO Alliance Global Implementation Guidelines on Heart Failure 2025 offers updated, practical recommendations for diagnosing and managing acute and chronic heart failure, including context-specific options for both pharmacological and non-pharmacological treatment. Importantly, it introduces resource-adjusted strategies, enabling clinicians to make effective decisions even in low- and middle-income settings.<\/p>\n","protected":false},"author":4,"featured_media":4842,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[103,104,101],"tags":[],"class_list":["post-4816","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guidelines","category-in-focus","category-volume-36-issue-2"],"yoast_head":"\niCARDIO Alliance Global Implementation Guidelines on Heart Failure 2025 - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"Inconsistencies in healthcare access, varying infrastructure, resource constraints and diverse local practices as well as practical and political issues restrict the global applicability of currently available guidelines. 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