Universal definition and classification of heart failure: a report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure
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Discussion
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Implication
Consensus report demonstrates a universal clinical definition and classification system in heart failure, highlighting criteria for earlier disease detection and standardized care.
Key Points
- To establish a universally recognized clinical definition, disease staging criteria, and ejection fraction-based classification for heart failure.
- Convened an international writing committee representing the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, and Japanese Heart Failure Society.
- Developed standardized diagnostic thresholds integrating clinical symptoms, objective structural and functional cardiac abnormalities, and biomarker measurements.
- Defined heart failure as a clinical syndrome with symptoms or signs caused by structural or functional cardiac abnormalities, confirmed by elevated natriuretic peptides or objective pulmonary or systemic congestion.
- Established four revised disease stages: At risk for HF (Stage A), Pre-HF (Stage B), Symptomatic HF (Stage C), and Advanced HF (Stage D).
- Categorized heart failure by ejection fraction: HFrEF (≤40%), HFmrEF (41–49%), HFpEF (≥50%), and HFimpEF (baseline ≤40% with a ≥10-point increase to a second measurement >40%).
Cite This Study
Bozkurt et al. (2021) studied this question.