A year in heart failure: updates of clinical and preclinical findings

Abstract

We witnessed major advances in the management of heart failure (HF) in 2022. Results of recent clinical and preclinical investigations aid preventive strategies, diagnostic efforts, and therapeutic interventions, and collectively, they hold promises for a more effective HF care for the near future. Accordingly, currently available information extends the 2021 European Society of Cardiology guidelines and provides a solid background for the introduction of improved clinical approaches in the number of HF‐related cases. Elaboration on the relationships between epidemiological data and risk factors lead to better understanding of the pathophysiology of HF with reduced ejection fraction and HF with preserved ejection fraction. The clinical consequences of valvular dysfunctions are increasingly interpreted not only in their haemodynamic consequences but also in association with their pathogenetic factors and modern corrective treatment possibilities. The influence of coronavirus disease 2019 pandemic on the clinical care of HF appeared to be less intense in 2022 than before; hence, this period allowed to refine coronavirus disease 2019 management options for HF patients. Moreover, cardio‐oncology emerges as a new subdiscipline providing significant improvements in clinical outcomes for oncology patients. Furthermore, the introduction of state‐of‐the‐art molecular biologic methods, multi‐omic approaches forecast improved phenotyping and precision medicine for HF. All above aspects are addressed in this article that highlights a selection of papers published in ESC Heart Failure in 2022.

Editors' highlight picks from 2023 in ESC heart failure

“…The importance of valvular heart disease (VHD) in HF was previously pointed out in ESC‐HF 18 . The relative importance of concomitant CAD and VHD adds further complexity to VHD‐HF link.…”

Artificial Intelligence Applied to Electrical and Non-Invasive Hemodynamic Markers in Elderly Decompensated Chronic Heart Failure Patients

“…SARS-CoV-2 resulting in coronavirus disease and other infections requiring medical attention have highlighted the excessive use of hospitalization. To avoid recurrent hospitalizations, it is necessary to introduce non-invasive, simple, inexpensive, transmissible, and early markers of CHF decompensation [4][5][6][7][8], especially since each hospitalization for acute decompensated heart failure increases the risk of worsening clinical conditions and mortality [9][10][11].…”

Artificial Intelligence and Its Role in Diagnosing Heart Failure: A Narrative Review

“…Heart failure (HF) continues to be a significant health issue globally, with an ongoing trend of an annual rise in its prevalence in the USA by 2030 [ 1 , 2 ]. It is a condition in which the heart fails to pump enough blood per the body's requirements [ 3 ].…”