{
  "release_id": "5dcd9b263fe17744",
  "id": "cardio:guideline-esc-2026-heart-failure",
  "owner": "cardio",
  "kind": "guideline",
  "slug": "guideline-esc-2026-heart-failure",
  "name": "2026 ESC heart failure guidelines",
  "aliases": [
    "2026 ESC Guidelines for the management of heart failure"
  ],
  "atlases": [
    "cardio"
  ],
  "summary_plain": "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.",
  "summary_technical": "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.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-15",
  "last_evidence_check": "2026-10-15",
  "next_review_due": null,
  "identifiers": [
    {
      "scheme": "doi",
      "value": "10.1093/eurheartj/ehag100",
      "normalized_value": "10.1093/eurheartj/ehag100",
      "match": "exact",
      "version": null,
      "label": null,
      "from_source": true
    },
    {
      "scheme": "pmid",
      "value": "42661420",
      "normalized_value": "42661420",
      "match": "exact",
      "version": null,
      "label": null,
      "from_source": true
    }
  ],
  "navigation": {
    "cardio": {
      "system": [
        "heart"
      ],
      "condition-area": [
        "heart-failure"
      ]
    }
  },
  "payload": {
    "source": "cardio:esc-2026-heart-failure",
    "issuers": [
      "cardio:esc"
    ],
    "edition": "2026 guidelines",
    "published": "2026-08-28",
    "planned_update": null,
    "status": "not_checked",
    "scope": null,
    "plain_interpretation": null
  },
  "content_digest": "6a589fc60bd389f6c8e1bfc134a2cd70e57c6b42be087c881b00ef7fc5c01338",
  "review": {
    "content_digest": "6a589fc60bd389f6c8e1bfc134a2cd70e57c6b42be087c881b00ef7fc5c01338",
    "current": [],
    "conflicting": [],
    "stale": [],
    "inactive": []
  },
  "claims": [
    {
      "release_id": "5dcd9b263fe17744",
      "id": "cardio:claim-esc-2026-hf-classification-and-stages",
      "owner": "cardio",
      "subject_entity_id": "cardio:guideline-esc-2026-heart-failure",
      "category": "descriptive",
      "statement": "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.",
      "context": {
        "id": "cardio:ctx-esc-2026-heart-failure-guideline",
        "label": "Patients with heart failure (2026 ESC guideline)",
        "recipient": "unknown",
        "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_note": "Not stated on the ESC page",
        "life_stage_terms": null,
        "gestational_age_min_days": null,
        "gestational_age_max_days": null,
        "gestational_age_basis": null,
        "postnatal_age_min_days": null,
        "postnatal_age_max_days": null,
        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "Not applicable (guideline context)",
        "eligibility": {
          "inclusion": [
            "Patients with heart failure"
          ],
          "exclusion": []
        }
      },
      "evidence_stage": "guidance",
      "certainty": "not_assessed",
      "certainty_method": null,
      "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).",
      "editorial_state": "draft",
      "checked_at": "2026-10-15",
      "next_review_due": null,
      "valid_from": null,
      "valid_to": null,
      "citations": [
        {
          "evidence_role": "supports",
          "locator": "Summary paragraph 1, fragments 1 to 3",
          "applicability_note": "Classification by ejection fraction refined; stage-based classification added.",
          "snapshot": {
            "id": "cardio:esc-hf2026-page-2026-10-15",
            "retrieved_at": "2026-10-15T13:52:07Z",
            "content_hash": "6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "cardio:esc-2026-heart-failure",
            "source_type": "guideline",
            "title": "2026 ESC Guidelines for the management of heart failure",
            "canonical_url": "https://doi.org/10.1093/eurheartj/ehag100",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.1093/eurheartj/ehag100",
                "normalized_value": "10.1093/eurheartj/ehag100",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "42661420",
                "normalized_value": "42661420",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": "2026-08-28",
            "publisher": "European Heart Journal",
            "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.",
            "reuse_basis": "ESC page fetched with a plain Mozilla/5.0 user agent on 2026-10-15, and a PubMed record fetched through NCBI E-utilities the same day. Only hashes are kept; nothing is committed. The ESC page states that its guidelines are for personal or educational use with no commercial use, that re-use permission must be obtained from the publisher, and that the ESC reserves the right to license use of its guidelines to train generative AI models (EU Directive 2019/790, Article 4 section 3). Public text is cite_only: public pages state the guideline in the atlas's own words, with a citation and a link, and use no ESC wording. Quote rows are short evidence fragments for the reviewer.",
            "public_text": "cite_only"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Summary paragraph 2, sentence 1",
          "applicability_note": "A revised nomenclature for therapies is proposed.",
          "snapshot": {
            "id": "cardio:esc-hf2026-page-2026-10-15",
            "retrieved_at": "2026-10-15T13:52:07Z",
            "content_hash": "6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "cardio:esc-2026-heart-failure",
            "source_type": "guideline",
            "title": "2026 ESC Guidelines for the management of heart failure",
            "canonical_url": "https://doi.org/10.1093/eurheartj/ehag100",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.1093/eurheartj/ehag100",
                "normalized_value": "10.1093/eurheartj/ehag100",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "42661420",
                "normalized_value": "42661420",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": "2026-08-28",
            "publisher": "European Heart Journal",
            "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.",
            "reuse_basis": "ESC page fetched with a plain Mozilla/5.0 user agent on 2026-10-15, and a PubMed record fetched through NCBI E-utilities the same day. Only hashes are kept; nothing is committed. The ESC page states that its guidelines are for personal or educational use with no commercial use, that re-use permission must be obtained from the publisher, and that the ESC reserves the right to license use of its guidelines to train generative AI models (EU Directive 2019/790, Article 4 section 3). Public text is cite_only: public pages state the guideline in the atlas's own words, with a citation and a link, and use no ESC wording. Quote rows are short evidence fragments for the reviewer.",
            "public_text": "cite_only"
          }
        },
        {
          "evidence_role": "context",
          "locator": "Page date line",
          "applicability_note": "Date shown on the ESC page.",
          "snapshot": {
            "id": "cardio:esc-hf2026-page-2026-10-15",
            "retrieved_at": "2026-10-15T13:52:07Z",
            "content_hash": "6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "cardio:esc-2026-heart-failure",
            "source_type": "guideline",
            "title": "2026 ESC Guidelines for the management of heart failure",
            "canonical_url": "https://doi.org/10.1093/eurheartj/ehag100",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.1093/eurheartj/ehag100",
                "normalized_value": "10.1093/eurheartj/ehag100",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "42661420",
                "normalized_value": "42661420",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": "2026-08-28",
            "publisher": "European Heart Journal",
            "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.",
            "reuse_basis": "ESC page fetched with a plain Mozilla/5.0 user agent on 2026-10-15, and a PubMed record fetched through NCBI E-utilities the same day. Only hashes are kept; nothing is committed. The ESC page states that its guidelines are for personal or educational use with no commercial use, that re-use permission must be obtained from the publisher, and that the ESC reserves the right to license use of its guidelines to train generative AI models (EU Directive 2019/790, Article 4 section 3). Public text is cite_only: public pages state the guideline in the atlas's own words, with a citation and a link, and use no ESC wording. Quote rows are short evidence fragments for the reviewer.",
            "public_text": "cite_only"
          }
        }
      ],
      "review": {
        "content_digest": "08a1e336be896485e7b2d326e26068a12920148176e5bd0c6fa1c064f5dfb17c",
        "current": [],
        "conflicting": [],
        "stale": [],
        "inactive": []
      },
      "api_path": "api/v1/claims/cardio--claim-esc-2026-hf-classification-and-stages.json"
    }
  ],
  "decisions": [],
  "milestones": [],
  "relationships": {
    "outgoing": [
      {
        "predicate": "authored_by",
        "label": "Issuer: the record keywords name the European Society of Cardiology (ESC)",
        "clinical_claim_not_fact": false,
        "family": "sourced",
        "other_entity_id": "cardio:esc",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": {
          "snapshot_id": "cardio:pubmed-42661420-2026-10-15",
          "locator": "KeywordList, Keyword"
        },
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      }
    ],
    "incoming": []
  },
  "page_path": "guidelines/guideline-esc-2026-heart-failure/",
  "context_path": "api/v1/context/cardio--guideline-esc-2026-heart-failure.md"
}