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2026 ESC Guidelines for the management

of heart failure

Developed by the task force for the management of heart failure of the European Society of Cardiology (ESC)

With the special contribution of the Heart Failure Association (HFA) of the ESC

Endorsed by the European Association for Cardio-Thoracic Surgery (EACTS)

Authors/Task Force Members: Lars Køber *†, (Chairperson) (Denmark), Marianna Adamo  *†, (Chairperson) (Italy), Anne-Christine Ruwald ‡, (Task Force Co-ordinator) (Denmark), Daniela Tomasoni ‡, (Task Force Co-ordinator) (Italy), Lisa J. Anderson (United Kingdom), Charlotte Andersson (United States of America), Jasper J. Brugts (Netherlands), Ovidiu Chioncel (Romania), Erwan Donal (France), Peter Ferdinandy (Hungary), Pardeep S. Jhund (United Kingdom), Francisco Leyva (United Kingdom), Roberto Lorusso (Netherlands), Michael Madigan (Ireland), Wilfried Mullens (Belgium), Stefania Paolillo (Italy), Nicola Ryan (United Kingdom), Maggie Simpson (United Kingdom), Holger Thiele (Germany), Jens Jakob Thune (Denmark), Emeline M. Van Craenenbroeck (Belgium), Linda W. Van Laake (Netherlands), Mariette Verbakel (Netherlands), and ESC Guidelines Advisory Group

* Corresponding authors: Lars Køber, Department of Cardiology, Rigshospitalet, Copenhagen, Denmark, and Department of Cardiology, Herlev-Gentofte Hospital, Copenhagen, Denmark, and Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark. Tel: +45 3545 3519, E-mail: lars.koeber.01@regionh.dk; Marianna Adamo, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy, and Cardiothoracic Department, ASST Spedali Civili di Brescia, Brescia, Italy. Tel: +393897834503, E-mail: mariannaadamo@hotmail.com † The two Chairpersons contributed equally to the document and are joint corresponding authors. ‡ The two Task Force Co-ordinators contributed equally to the document. Author/Task Force Member affiliations are listed in author information. ESC Clinical Practice Guidelines (CPG) Committee: listed in the Appendix. ESC subspecialty communities having participated in the development of this document: Associations: Association of Cardiovascular Nursing & Allied Professions (ACNAP), Association for Acute CardioVascular Care (ACVC), European Association of Cardiovascular Imaging (EACVI), European Association of Preventive Cardiology (EAPC), European Association of Percutaneous Cardiovascular Interventions (EAPCI), European Heart Rhythm Association (EHRA), Heart Failure Association (HFA). Councils: Cardiology Practice, Cardiovascular Genomics, Valvular Heart Disease. Working Groups: Adult Congenital Heart Disease, Cardiovascular Pharmacotherapy, Cardiovascular Surgery, Myocardial and Pericardial Diseases, Pulmonary Circulation and Right Ventricular Function. Patient Forum © The European Society of Cardiology 2026. All rights reserved. For permissions, please email: journals.permissions@oup.com. No part of this publication may be reproduced, stored in a retrieval system, transmitted, used for text and data mining, or used for training artificial intelligence, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by license or under terms agreed with the appropriate reprographics rights organization. Inquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above. ESC Guidelines are protected by copyright. As per opt out option under Article 4(3) of EU Directive 2019/790, the European Society of Cardiology (ESC) reserves all rights to license uses of ESC Guidelines to train or develop generative artificial intelligence (AI) models, large language models or other deep learning or machine learning models.

European Heart Journal (2026) 00, 1–112 https://doi.org/10.1093/eurheartj/ehag100

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