2013 ACCF/AHA Guideline for the Management of Heart Failure

Yancy, Clyde W.; Jessup, Mariell; Bozkurt, Biykem; Butler, Javed; Casey, Donald E.; Drazner, Mark H.; Fonarow, Gregg C.; Geraci, Stephen A.; Horwich, Tamara; Januzzi, James L.; Johnson, Maryl R.; Kasper, Edward K.; Levy, Wayne C.; Masoudi, Frederick A.; McBride, Patrick E.; McMurray, John J.V.; Mitchell, Judith E.; Peterson, Pamela N.; Riegel, Barbara; Sam, Flora; Stevenson, Lynne W.; Tang, W.H. Wilson; Tsai, Emily J.; Wilkoff, Bruce L.

doi:10.1016/j.jacc.2013.05.019

Cited by 12,536Heart Failure Treatment and ManagementCardiac pacing and defibrillation studiesCardiovascular Function and Risk Factors

2013 ACCF/AHA Guideline for the Management of Heart Failure

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Yancy, Clyde W., Jessup, Mariell, Bozkurt, Biykem, Butler, Javed, Casey, Donald E., Drazner, Mark H., Fonarow, Gregg C., Geraci, Stephen A. +16 more·2013·Journal of the American College of Cardiology

DOI 10.1016/j.jacc.2013.05.019

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Abstract

Introduction 1.1. Methodology and Evidence ReviewThe recommendations listed in this document are, whenever possible, evidence based.An extensive evidence review was conducted through October 2011 and includes selected other references through April 2013.Searches were extended to studies, reviews, and other evidence conducted in human subjects and that were published in English from PubMed, EMBASE, Cochrane, Agency for Healthcare Research and Quality Reports, and other selected databases relevant to this guideline.Key search words included but were not limited to the following: heart failure, cardiomyopathy, quality of life, mortality, hospitalizations, prevention, biomarkers, hypertension, dyslipidemia, imaging, cardiac catheterization, endomyocardial biopsy, angiotensin-converting enzyme inhibitors, angiotensin-receptor antagonists/blockers, beta blockers, cardiac, cardiac resynchronization therapy, defibrillator, device-based therapy, implantable cardioverterdefibrillator, device implantation, medical therapy, acute decompensated heart failure, preserved ejection fraction, terminal care and transplantation, quality measures, and performance measures.Additionally, the committee reviewed documents related to the subject matter previously published by the ACCF and AHA.References selected and published in this document are representative and not all-inclusive.To provide clinicians with a representative evidence base, whenever deemed appropriate or when published, the absolute risk difference and number needed to treat or harm are provided in the guideline (within tables), along with confidence intervals and data related to the relative treatment effects such as odds ratio, relative risk, hazard ratio, and incidence rate ratio. Organization of the Writing CommitteeThe committee was composed of physicians and a nurse with broad expertise in the evaluation, care, and management of patients with heart failure (HF).The authors included general cardiologists, HF and transplant specialists, electrophysiologists, general internists, and physicians with methodological expertise.The committee included representatives from the ACCF, AHA, American Academy of Family Physicians, American College of Chest Physicians, American College of Physicians, Heart Rhythm Society, and International Society for Heart and Lung Transplantation. 1.3.

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An RCT with aggressive salt reduction (maximum 800 mg/day) and fluid restriction (maximum 800 mL/day) showed that sodium and water restriction in patients admitted for acute decompensated heart failure are unnecessary.
“in patients admitted for ADHF are unnecessary”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [149]
The fluid-restriction discussion (section 7.4.3; page not provided) says routine strict fluid restriction does not appear to benefit all patients with HF, which supports a narrower version of the claim. Our copy does not report an RCT using 800 mg/day of sodium and 800 mL/day of fluid or conclude that both restrictions are unnecessary for patients admitted with acute decompensated HF. The sodium-restriction recommendation (section 7.3.1.3; page not provided) instead says restriction is reasonable for symptomatic HF. (LLM, conf=0.86)
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Background
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A Randomized Clinical Trial to Evaluate the Safety and Efficacy of a Percutaneous Left Ventricular Assist Device Versus Intra-Aortic Balloon Pumping for Treatment of Cardiogenic Shock Caused by Myocardial Infarction
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Yancy et al. JACC Vol. 62, No. 16, 2013 2013 ACCF/AHA Heart Failure Guideline: Full Text October 15, 2013:e147-239 e220 458.
Yancy et al. JACC Vol. 62, No. 16, 2013 2013 ACCF/AHA Heart Failure Guideline: Full Text October 15, 2013:e147-239 e224 631.

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Authors: Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H., Fonarow, G. C., Geraci, S. A., Horwich, T., Januzzi, J. L., Johnson, M. R., Kasper, E. K., Levy, W. C., Masoudi, F. A., McBride, P. E., McMurray, J. J. V., Mitchell, J. E., Peterson, P. N., Riegel, B., Sam, F., Stevenson, L. W., Tang, W. H. W., Tsai, E. J., & Wilkoff, B. L.
Affiliations: American Heart Association (US)
American College of Chest Physicians (US)
International Society for Heart and Lung Transplantation (US)
American Academy of Family Physicians (US)
ORCID: Yancy, Clyde W.
Jessup, Mariell
Bozkurt, Biykem
Butler, Javed
Casey, Donald E.
Drazner, Mark H.
Fonarow, Gregg C.
Horwich, Tamara
Januzzi, James L.
Kasper, Edward K.
Levy, Wayne C.
Masoudi, Frederick A.
McBride, Patrick E.
McMurray, John J.V.
Peterson, Pamela N.
Riegel, Barbara
Sam, Flora
Stevenson, Lynne W.
Tang, W.H. Wilson
Tsai, Emily J.
Wilkoff, Bruce L.
Venue: Journal of the American College of Cardiology
Publisher: Elsevier BV
Published: 2013-10
Volume: 62
Issue: 16
Pages: e147-e239
ISSN: 0735-1097 (ISSN-L)
DOI: 10.1016/j.jacc.2013.05.019
OpenAlex: W2119340816
Cited by: 12,536
References: 1,170
Citations by year: 2026: 82 · 2025: 160 · 2024: 288 · 2023: 382 · 2022: 584 · 2021: 1176 · 2020: 1287 · 2019: 1220 · 2018: 1205 · 2017: 1305 · 2016: 1404 · 2015: 1308 · 2014: 1115 · 2013: 535 · 2012: 395
FWCI: 989.27
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: other-oa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 379 d)
Locations: Journal of the American College of Cardiology (publishedVersion, other-oa)
PubMed (publishedVersion)
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Funders: American Heart Association
American College of Cardiology Foundation
Heart Rhythm Society
University of Pennsylvania
State University of New York
Cleveland Clinic
St. Jude Medical
SUNY Downstate Medical Center
Biosense Webster
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
Keywords: heart failure treatment, heart failure with reduced ejection fraction, heart failure with preserved ejection fraction, acute decompensated heart failure, implantable cardioverter-defibrillator, cardiac resynchronization therapy, beta-blockers, ACE inhibitors, angiotensin receptor blockers
MeSH terms: Adult, Heart Failure, Humans, United States, Disease Management, Evidence-Based Practice

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