{"id":5781,"date":"2026-10-23T09:31:31","date_gmt":"2026-10-23T07:31:31","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5781"},"modified":"2026-10-23T11:06:54","modified_gmt":"2026-10-23T09:06:54","slug":"icardio-alliance-global-implementation-guidelines-on-heart-failure-2026","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/icardio-alliance-global-implementation-guidelines-on-heart-failure-2026\/","title":{"rendered":"iCARDIO Alliance Global Implementation Guidelines on Heart Failure 2026"},"content":{"rendered":"
\r\n
\r\n
\r\n \r\n Vijay Chopra* (India), 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), Sivasadanpalli Harikrishnan (India), 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), John G.F. Cleland (UK), Gemma Figtree (Australia), Gerasimos Filippatos (Greece), Marat Fudim (USA), Habib Gamarra (Tunisia), Juan Esteban Gomez-Mesa (Colombia), Martha Gulati (USA), James L. Januzzi (USA), Marvin A. Konstam (USA), JoAnn Lindenfeld (USA), Robert J. Mentz (USA), Rhonda Monroe (USA), Elijah Ogola (Kenya), Fausto J. Pinto (Portugal), Girish C. Rajadhyaksha (India), Carlos E. Ramos (Honduras), Giuseppe Rosano (Italy), Victor Rossel (Chile), Naoki Sato (Japan), P. Christian Schulze (Germany), Andrew Sindone (Australia), Kadhim Sulaiman (Oman), Muthiah Vaduganathan (USA), Harriette G.C. Van Spall (Canada), Dirk J. van Veldhuisen (Netherlands), Stephan von Haehling (Germany), Tzung-Dau Wang (Taiwan), Pepe Zamorano (Spain), 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 2026 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\nThis is the updated 2026 version of the iCARDIO Alliance Global Implementation Guidelines on Heart Failure \u2013 originally published in 2025. In these guidelines, we aim to consider inconsistencies in healthcare access, varying infrastructure, resource constraints and diverse local practices as well as practical and political issues that restrict the global applicability of currently available guidelines. There is a need for universal recommendations 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-to-date 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 HF with improved ejection fraction and cardiomyopathies. Context-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 improves patient outcomes and reduces the burden of hospitalization in this susceptible population. These guidelines provide evidence-based 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 guidance 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 set of recommendations to guide all aspects of HF management with a unified strategy for pharmacological, non-pharmacological, 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> August 18, 2026; \r\n Accepted:<\/strong> August 18, 2026 \r\n
\r\n Cardiovasc J Afr 2024; 36<\/b><\/em>\r\n
Volume 36, Issue 4<\/strong>
\r\n \r\n <\/div> \r\n \r\n
\r\n DOI Citation Reference: dx.doi.org\/10.4081\/cardio.2026.117 \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":"

This is the updated 2026 version of the iCARDIO Alliance Global Implementation Guidelines on Heart Failure \u2013 originally published in 2025. In these guidelines, we aim to consider inconsistencies in healthcare access, varying infrastructure, resource constraints and diverse local practices as well as practical and political issues that restrict the global applicability of currently available guidelines. There is a need for universal recommendations that address the unique challenges faced by patients and healthcare providers worldwide.<\/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":[103,112],"tags":[],"class_list":["post-5781","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guidelines","category-volume-37-issue-4"],"yoast_head":"\niCARDIO Alliance Global Implementation Guidelines on Heart Failure 2026 - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"This is the updated 2026 version of the iCARDIO Alliance Global Implementation Guidelines on Heart Failure \u2013 originally published in 2025. 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