# 2026 ESC heart failure guidelines Guideline · id `cardio:guideline-esc-2026-heart-failure` · Cardiovascular Atlas · release `73130c34862e2d06` (public) > General information from published sources, not medical advice, and not reviewed by clinicians. Check the cited source before relying on anything here. The atlas's own text and curation may be reused under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0, https://creativecommons.org/licenses/by-nc/4.0/): credit the atlas, and do not use it commercially. See the atlas About page. Text quoted from a source stays under that source's own terms, given as the source's reuse\_basis. The atlas's reuse terms do not cover it. The downloads list each quotation with its source in third\_party\_quotations. Also called: 2026 ESC Guidelines for the management of heart failure Browse, organ or system: Heart Browse, condition area: Heart failure ## In plain language The 2026 heart failure guidelines of the European Society of Cardiology. The ESC page says they refine how heart failure is classified by ejection fraction, add a stage-based classification with more weight on prevention and early recognition, and propose new names for heart failure therapies. The ESC allows reuse of its guidelines only under its terms, so this atlas states what it read in its own words. ## Technical summary European Heart Journal 2026;47(38):5346-5457, doi 10.1093/eurheartj/ehag100, PMID 42661420. The ESC page dates the guideline 28 Aug, 2026. PubMed holds no abstract and lists no PMC copy or correction. Only the ESC page summary and the PubMed record were read; the recommendations were not. ## Claims, with the population each applies to ## Context: Patients with heart failure (2026 ESC guideline) Recipient: Recipient not specified; Population: Patients with heart failure. The ESC page summary gives no age limits and no inclusion criteria.; Care setting: Not stated on the ESC page.; Geography: Europe (a European Society of Cardiology guideline; the page names no jurisdiction); Life stage: Not stated on the ESC page; Gestational age: Not reported; Postnatal age: Not reported; Follow-up: Not applicable (guideline context) ### The ESC page for the 2026 ESC heart failure guideline, dated 28 August 2026, says the guideline refines how heart failure is classified by left ventricular ejection fraction and adds a stage-based classification that puts more weight on prevention, on spotting the disease early and on acting in good time. It also proposes a revised set of names for heart failure therapies. - Category: Description - Evidence stage: Guidance - Certainty: Certainty not assessed - Applies to: Recipient: Recipient not specified; Population: Patients with heart failure. The ESC page summary gives no age limits and no inclusion criteria.; Care setting: Not stated on the ESC page.; Geography: Europe (a European Society of Cardiology guideline; the page names no jurisdiction); Life stage: Not stated on the ESC page; Gestational age: Not reported; Postnatal age: Not reported; Follow-up: Not applicable (guideline context) - Limitations: Only the ESC page summary and the PubMed record (which holds no abstract) were read; the guideline text, its recommendations and their classes were not. ESC content is cite only, so this atlas states the summary in its own words. PubMed lists no correction to this guideline (checked 2026-10-15). - Last checked: 2026-10-15 - Sources: 1. Supports: 2026 ESC Guidelines for the management of heart failure (Guideline, edition Issued by the European Society of Cardiology and published in European Heart Journal 47(38):5346-5457 (PubMed issue date 2026-10-09; the ESC page dates the guideline 28 Aug, 2026). PubMed holds no abstract and lists no PMC copy; the guideline text was not read. The facts come from the PubMed record and the ESC guideline page. The publisher field is the journal title as PubMed gives it.) Locator: Summary paragraph 1, fragments 1 to 3. Retrieved 2026-10-15T13:52:07Z. Source state: Current. Snapshot hash: 6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a. How it applies: Classification by ejection fraction refined; stage-based classification added. 2. Supports: 2026 ESC Guidelines for the management of heart failure (Guideline, edition Issued by the European Society of Cardiology and published in European Heart Journal 47(38):5346-5457 (PubMed issue date 2026-10-09; the ESC page dates the guideline 28 Aug, 2026). PubMed holds no abstract and lists no PMC copy; the guideline text was not read. The facts come from the PubMed record and the ESC guideline page. The publisher field is the journal title as PubMed gives it.) Locator: Summary paragraph 2, sentence 1. Retrieved 2026-10-15T13:52:07Z. Source state: Current. Snapshot hash: 6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a. How it applies: A revised nomenclature for therapies is proposed. 3. Background: 2026 ESC Guidelines for the management of heart failure (Guideline, edition Issued by the European Society of Cardiology and published in European Heart Journal 47(38):5346-5457 (PubMed issue date 2026-10-09; the ESC page dates the guideline 28 Aug, 2026). PubMed holds no abstract and lists no PMC copy; the guideline text was not read. The facts come from the PubMed record and the ESC guideline page. The publisher field is the journal title as PubMed gives it.) Locator: Page date line. Retrieved 2026-10-15T13:52:07Z. Source state: Current. Snapshot hash: 6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a. How it applies: Date shown on the ESC page. ## Connected pages - Issuer: the record keywords name the European Society of Cardiology (ESC): European Society of Cardiology (`cardio:esc`) ## Provenance Content hash: 6a589fc60bd389f6c8e1bfc134a2cd70e57c6b42be087c881b00ef7fc5c01338 Last substantive edit: 2026-10-15 Evidence last checked: 2026-10-15