• Issue

    European Journal of Heart Failure: Volume 27, Issue 3

    i-v, 409-610
    March 2025

ISSUE INFORMATION

Free Access

Issue Information

  • Pages: i-v
  • First Published: 30 March 2025

MEDICAL TREATMENT

Research Article

Translating the 2021 ESC heart failure guideline recommendations in daily practice: Results from a heart failure survey. A scientific statement of the ESC Council for Cardiology Practice and the Heart Failure Association of the ESC

  • Pages: 412-420
  • First Published: 24 September 2024
Translating the 2021 ESC heart failure guideline recommendations in daily practice: Results from a heart failure survey. A scientific statement of the ESC Council for Cardiology Practice and the Heart Failure Association of the ESC

Heart failure with reduced ejection fraction (HFrEF) survey endorsed by the Council for Cardiology Practice and the Heart Failure Association of the European Society of Cardiology (ESC). HF, heart failure ACEi, angiotensin-converting enzyme inhibitor; ARNi, angiotensin receptor–neprilysin inhibitor; BB, beta-blocker; GDMT, guideline-directed medical therapy; MRA, mineralocorticoid receptor antagonist; SGLT2, sodium–glucose cotransporter 2.

Open Access

Implementation of guideline-recommended therapies in heart failure with reduced ejection fraction according to heart failure duration: An analysis of 55 581 patients from the Swedish Heart Failure (SwedeHF) Registry

  • Pages: 421-431
  • First Published: 09 January 2025
Implementation of guideline-recommended therapies in heart failure with reduced ejection fraction according to heart failure duration: An analysis of 55 581 patients from the Swedish Heart Failure (SwedeHF) Registry

Heart failure (HF) duration and guideline-recommended therapy implementation. ARNI, angiotensin receptor–neprilysin inhibitor; HFrEF, heart failure with reduced ejection fraction; ICD-10, International Classification of Diseases, 10th revision; MRA, mineralocorticoid receptor antagonist; RASI, renin–angiotensin system inhibitor; SGLT2i, sodium–glucose cotransporter 2 inhibitor.

Research Article

Open Access

Guideline-directed medical therapy for heart failure in arrhythmia-induced cardiomyopathy with improved left ventricular ejection fraction

  • Pages: 442-452
  • First Published: 18 December 2024

Guideline-directed medical therapy for heart failure in arrhythmia-induced cardiomyopathy with improved left ventricular ejection fraction

Impact of guideline-directed medical therapy for heart failure after left ventricular ejection fraction (LVEF) improvement in arrhythmia-induced cardiomyopathy (AiCM). (A) Study flow chart. (B) Changes in renin-angiotensin-system (RAS) inhibitors and beta-blocker (BB) prescriptions after LVEF improvement. (C) Time-to-relapse curves based on treatment strategies. (D) Mean hazard rates of relapse (expressed in number of events per 100 patient-months) for each semester and treatment strategy. A Gaussian kernel local polynomial smoothing was employed for hazard function plotting. RASi, renin-angiotensin system inhibitor; wd, withdrawn.

Invited Editorial

THE HEART IN SYSTEMIC DISEASE MIC CONDITIONS

Review Article

Open Access

Hypertensive pregnancy disorder, an under-recognized women specific risk factor for heart failure?

  • Pages: 459-472
  • First Published: 19 November 2024
Hypertensive pregnancy disorder, an under-recognized women specific risk factor for heart failure?

Hypertensive disorders of pregnancy as a risk factor for heart failure. BMI, body mass index; CV, cardiovascular; CVD, cardiovascular disease; HELLP, haemolysis, elevated liver enzymes, low platelet count.

Research Article

Long-term rate of heart failure in patients with autoimmune disease: A nationwide cohort study

  • Pages: 479-487
  • First Published: 09 December 2024
Long-term rate of heart failure in patients with autoimmune disease: A nationwide cohort study

In a nationwide study, patients with autoimmune disease (AID), irrespective of type, had a higher associated rate of heart failure (HF) than matched individuals from the background population. AHA, autoimmune haemolytic anaemia; CLE, cutaneous lupus erythematosus; GPA, granulomatosis with polyangiitis; ITP, immune thrombocytopenic purpura; PsA, psoriatic and enteropathic arthropathy; SLE, systemic lupus erythematosus; SSc, systemic or localized sclerosis.

Open Access

Endomyocardial biopsy in the diagnosis of cardiac sarcoidosis

  • Pages: 488-497
  • First Published: 05 December 2024
Endomyocardial biopsy in the diagnosis of cardiac sarcoidosis

The diagnostic performance of endomyocardial biopsy (EMB) in 216 patients with cardiac sarcoidosis (CS). The overall sensitivity of the first EMB was 38%, although it varied markedly depending on the extent and severity of the disease. Major complications were rare (<1%) and no deaths or permanent sequels were observed. Positive EMB was not an independent prognostic factor. AVB, atrioventricular block; LGE, late gadolinium enhancement; VF, ventricular fibrillation; VT, ventricular tachycardia.

Research Article

Metabolic dysfunction-associated steatotic liver disease is associated with increased risks of heart failure

  • Pages: 512-520
  • First Published: 08 January 2025
Metabolic dysfunction-associated steatotic liver disease is associated with increased risks of heart failure

In this cohort study, metabolic dysfunction-associated steatotic liver disease (MASLD) was associated with a higher risk of heart failure (HF), specifically HF with preserved ejection fraction (HFpEF). There was a dose-dependent relationship between cardiometabolic risk factors and HF. CI, confidence interval; SHR, sub-distribution hazard ratio; SLD, steatotic liver disease.

Research Article

Open Access

Anthropometric measures and long-term mortality in non-ischaemic heart failure with reduced ejection fraction: Questioning the obesity paradox

  • Pages: 527-536
  • First Published: 18 August 2024

Anthropometric measures and long-term mortality in non-ischaemic heart failure with reduced ejection fraction: Questioning the obesity paradox

Prognostic value of several alternative anthropometric measures in patients with non-ischaemic heart failure with reduced ejection fraction. The upper part of the figure describes the calculation of each of the anthropometric measures. The lower part of the figure shows the risk of mortality according to continuous body mass index (BMI) (left panel) and waist-to-height ratio (WHtR) (right panel). The solid line represents the hazard ratio (HR) and the shaded area the 95% confidence interval (CI). The blue spline is adjusted for randomization. The red spline is adjusted for randomization, age, sex, cardiac resynchronization therapy (pre-existing or planned), trial centre, systolic blood pressure, heart rate, estimated glomerular filtration rate, left ventricular ejection fraction, log of N-terminal pro-B-type natriuretic peptide, New York Heart Association functional class, duration of heart failure, a history of diabetes, and atrial fibrillation. BRI, body roundness index; BSI, body shape index; RFM, relative fat mass; WHR, waist-to-hip ratio; WWI, weight-adjusted-waist index.

Research Article

Cardiovascular outcomes with exenatide in type 2 diabetes according to ejection fraction: The EXSCEL trial

  • Pages: 540-551
  • First Published: 09 October 2024
Cardiovascular outcomes with exenatide in type 2 diabetes according to ejection fraction: The EXSCEL trial

Cardiovascular outcomes with exenatide in type 2 diabetes (T2D) according to left ventricular ejection fraction (LVEF): the EXSCEL trial. CI, confidence interval; CVD, cardiovascular disease; GLP-1 RA, glucagon-like peptide-1 receptor agonist; HHF, hospitalization for heart failure; HR, hazard ratio; NYHA, New York Heart Association.

Invited Editorial

POST-MYOCARDIAL INFARCTION

Research Article

Open Access

Association between body mass index and clinical outcomes in patients with acute myocardial infarction and reduced systolic function: Analysis of PARADISE-MI trial data

  • Pages: 558-565
  • First Published: 18 December 2024
Association between body mass index and clinical outcomes in patients with acute myocardial infarction and reduced systolic function: Analysis of PARADISE-MI trial data

Association between body mass index (BMI) and clinical outcomes in PARADISE-MI. (A) Histogram for BMI (kg/m2), (B) adverse events for BMI subgroups, and spline model curves for (C) the primary composite outcome and (D) cardiovascular (CV) death by BMI subgroups. Covariates were adjusted for age (years), pulmonary congestion, percutaneous coronary intervention, left ventricular ejection fraction (%) and hypertension.

Mortality after high-risk myocardial infarction over the last 20 years: Insights from the VALIANT and PARADISE-MI trials

  • Pages: 589-597
  • First Published: 18 December 2024
Mortality after high-risk myocardial infarction over the last 20 years: Insights from the VALIANT and PARADISE-MI trials

Mortality following high-risk myocardial infarction. CI, confidence interval; CV, cardiovascular; HR, hazard ratio; LVEF, left ventricular ejection fraction; PCI, percutaneous coronary intervention.

Revascularization and outcomes in ischaemic left ventricular dysfunction after heart failure admission: The RevascHeart study

  • Pages: 598-605
  • First Published: 02 October 2024
Revascularization and outcomes in ischaemic left ventricular dysfunction after heart failure admission: The RevascHeart study

The RevascHeart study. AHF, acute heart failure; CABG, coronary artery bypass graft; CI, confidence interval; CV, cardiovascular; GDMT, guideline-directed medical therapy; LVEDD, left ventricular end-diastolic diameter; LVEF, left ventricular ejection fraction; OR, odds ratio; PCI, percutaneous coronary intervention.