ACCF/AHA Guidelines on Diagnosing and Treating Heart Failure

The American College of Cardiology Foundation and the American Heart Association have jointly issued updated guidelines for the management of heart failure. The guidelines, which replace those from 2005, appear online in Circulation.


The revised guidelines:

  • emphasize the role of natriuretic peptides in stratifying risk;
  • slightly downgrade the benefit (relative to risk) of exercise testing in designing rehab programs;
  • recommend use of hydralazine and nitrates in combination for African Americans on optimal therapy having moderate-to-severe symptoms;
  • recommend either controlling ventricular rate or maintaining sinus rhythm in patients with atrial fibrillation and heart failure;
  • offer advice on eligibility for implantable cardioverter-defibrillators and cardiac resynchronization therapy; and
  • provide recommendations for patients hospitalized with heart failure.


Circulation article with updated guidelines (Free PDF)

Circulation article with full guidelines (Free PDF)