Heart Failure (Chronic)

Chronic heart failure management.

Reviewed by Dr Kola Tytler MBBS CertHE MBA MSt MRCGP (General Practitioner)

Last reviewed: 21 October 2025

Cardiology

Turn this into CPDPractise this topic, identify learning gaps and prepare a CPD draft you can review.Find reviewed question practiceChoose your examination. iatroX will check for an exact reviewed question set before offering a topic; no filter or session starts automatically.

regional clinical guidance

Heart Failure (Chronic): guidance by region

Recommendations, thresholds and pathways can differ. Open the page written for the jurisdiction you need.

United StatesChronic heart failureCardiovascular · reviewed 2026-08-20 CanadaChronic heart failureCardiovascular · reviewed 2026-08-20 AustraliaChronic heart failureCardiovascular · reviewed 2026-08-20

Clinical Guidelines

2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

CKS: Heart failure - chronic

NICE guideline [NG106]: Chronic heart failure in adults: diagnosis and management

SIGN 147 • Management of chronic heart failure

2017 ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment

2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure

2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure

2023 ACC Expert Consensus on Management of HFpEF

2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

2025 ESC Clinical Practice Guidelines (Highlights from the clinical consensus statement by the European Society of Cardiology)

KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease