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Aniela Popescu: Heart Failure Care Enters a New Era With the 2026 ESC Guidelines
Aniela Popescu/LinkedIn
Aug 29, 2026, 15:43

Aniela Popescu: Heart Failure Care Enters a New Era With the 2026 ESC Guidelines

Aniela Popescu, Fellow of the European Society of Cardiology at European Society of Cardiology, shared a post on LinkedIn:

“Hot off the press: new 2026 ESC Heart Failure Guidelines from ESC Congress 2026!

A new way of thinking about heart failure, with more emphasis on prevention, phenotyping and individualized treatment.

Some of the key messages:

  • Simplified HF classification: HFrEF less than 50 percent and HFpEF greater than or equal to 50 percent
  • Greater focus on prevention and pre-heart failure
  • A more multiparametric diagnostic approach, integrating biomarkers and multimodality imaging, with greater emphasis on natriuretic peptides
  • New treatment terminology: Foundational Medical Therapy (FMT) as the therapeutic backbone, complemented by Additional Medical Therapy (AMT) and Guideline-Directed

Interventional Therapy (GDIT)

  • SGLT2 inhibitors and MRAs as foundational therapy in symptomatic HF, irrespective of LVEF
  • ‘Decompensated heart failure’ replaces ‘acute heart failure’, encompassing both acute and gradual worsening requiring urgent treatment
  • Greater integration of device and interventional therapies, with CRT potentially considered earlier in appropriate patients

A shift towards earlier recognition, better phenotyping and a more integrated, personalized approach to heart failure care.

More updates from Munich to come!”

Aniela Popescu: Heart Failure Care Enters a New Era With the 2026 ESC Guidelines

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