ISSN 3060-4745 Open Access · Peer Reviewed
PDF
DOI

Keywords

Heart failure; guideline-directed medical therapy; HFrEF; ACE inhibitors; beta-blockers; mineralocorticoid receptor antagonists; SGLT2 inhibitors.

How to Cite

PHARMACOTHERAPY OF HEART FAILURE: A NARRATIVE REVIEW OF CONTEMPORARY GUIDELINE-DIRECTED DRUG THERAPY. (2026). ACUMEN: INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH, 3(10), 78-91. https://doi.org/10.66301/0zd1a866

Abstract

Heart failure remains one of the most common, costly, and lethal cardiovascular  syndromes worldwide, affecting more than 64 million people globally and carrying a  prognosis that is often worse than many forms of cancer. Over the past four decades,  pharmacological management has evolved from a purely symptomatic, diuretic centred approach into a sophisticated, evidence-driven strategy that targets the  neurohormonal maladaptation underlying the disease. This narrative review  summarizes the pharmacotherapy of heart failure with a focus on guideline-directed  medical therapy (GDMT) for heart failure with reduced ejection fraction (HFrEF). 

PDF
DOI

References

1. Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895–e1032.

2. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42(36):3599 3726.

3. The CONSENSUS Trial Study Group. Effects of enalapril on mortality in severe congestive heart failure: results of the Cooperative North Scandinavian Enalapril Survival Study (CONSENSUS). N Engl J Med. 1987;316(23):1429–1435.

4. The SOLVD Investigators. Effect of enalapril on survival in patients with reduced left ventricular ejection fractions and congestive heart failure. N Engl J Med. 1991;325(5):293–302.

5. The Cardiac Insufficiency Bisoprolol Study II (CIBIS-II) Investigators. The Cardiac Insufficiency Bisoprolol Study II (CIBIS-II): a randomised trial. Lancet. 1999;353(9146):9–13.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Indexed In · Partners

Trusted by Global Scientific Indexing Services

JUSR is indexed and recognized by leading international databases and research integrity organizations.