2026 ESC heart failure guidelines

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.

Also called 2026 ESC Guidelines for the management of heart failure

  • Guideline
  • In this atlas

Overview

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.

About this guideline

Edition
2026 guidelines
Published
2026-08-28
Status
Not checked for a newer edition

Source

Document
2026 ESC Guidelines for the management of heart failure
Publisher
European Heart Journal
Edition note
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.

Recommendations

No recommendation in this atlas names this guideline yet.

Claims and evidence

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)
Eligibility: 1 inclusion criterion; exclusion criteria not stated
Included
  • Patients with heart failure
Excluded
None stated
  • Description Guidance Certainty not assessed

    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.

    Applies to Recipient not specified
    • Patients with heart failure. The ESC page summary gives no age limits and no inclusion criteria.
    • Not stated on the ESC page.
    • Europe (a European Society of Cardiology guideline; the page names no jurisdiction)
    • Not stated on the ESC page
    • Gestational age Not reported
    • Postnatal age Not reported
    Follow-up Not applicable (guideline context)
    Certainty method
    Not assessed
    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
    Next evidence check due
    Not scheduled
    Sources and citations (3)
    1. Supports 2026 ESC Guidelines for the management of heart failure

      Guideline · 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. · Published 2026-08-28 · DOI: 10.1093/eurheartj/ehag100 · PMID: 42661420

      Locator
      Summary paragraph 1, fragments 1 to 3
      How it applies
      Classification by ejection fraction refined; stage-based classification added.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a
      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.
    2. Supports 2026 ESC Guidelines for the management of heart failure

      Guideline · 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. · Published 2026-08-28 · DOI: 10.1093/eurheartj/ehag100 · PMID: 42661420

      Locator
      Summary paragraph 2, sentence 1
      How it applies
      A revised nomenclature for therapies is proposed.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a
      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.
    3. Background 2026 ESC Guidelines for the management of heart failure

      Guideline · 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. · Published 2026-08-28 · DOI: 10.1093/eurheartj/ehag100 · PMID: 42661420

      Locator
      Page date line
      How it applies
      Date shown on the ESC page.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      6fb8df7089b8ee907222cf0eddba22ec5e0f419c5a99d51fef92eef7ae48791a
      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.

Record details

Record id
cardio:guideline-esc-2026-heart-failure
Content hash
6a589fc60bd389f6c8e1bfc134a2cd70e57c6b42be087c881b00ef7fc5c01338