Management of Ischemic Heart Disease in Patients With Heart Failure: JACC: Heart Failure Position Statement

JACC Heart Fail. 2025 Dec;13(12):102731. doi: 10.1016/j.jchf.2025.102731.

Abstract

Coronary artery disease remains a common cause of morbidity and mortality for patients with heart failure, both in the acute and chronic settings. The management decisions for these patients are complex and are often driven by the clinical setting (ie, acute vs chronic disease) and predominant symptoms (angina vs heart failure). However, there remain significant gaps in the knowledge/evidence around optimal timing and implementation of medical therapy and the role and selection of patients for revascularization. Suggested considerations for clinical practice are provided based on the current body of evidence with emphasis on ongoing gaps in knowledge for future clinical research in this area.

Keywords: cardiac imaging; coronary artery disease; heart failure; revascularization.

Publication types

  • Review
  • Consensus Statement

MeSH terms

  • Disease Management*
  • Heart Failure* / complications
  • Heart Failure* / therapy
  • Humans
  • Myocardial Ischemia* / complications
  • Myocardial Ischemia* / therapy
  • Myocardial Revascularization / methods