GuidelineCurrent

HFSA — Heart Failure Society of America Scientific Statement on Right Heart Failure

HFSA, 2026

Recognize right heart failure as a distinct syndrome. Use multiparametric assessment and a physiology-based approach to preload, RV afterload and perfusion/contractility. PH subtype, shock trajectory and a viable destination guide specialist therapy and support. This scientific statement is not a new randomized treatment trial.

Conditional recommendationLow certainty

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Clinical Context & Relevant Topics (2)

Disease Reference

Cardiogenic Shock

Primary pump failure, SCAI staging (A–E), PAC hemodynamics (CPO, PAPi), inotrope selection, emergent revascularization, and mechanical circulatory support.

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Acute Right Ventricular Failure

RV anatomy and ischemia spiral, ventricular interdependence (D-sign), echocardiographic metrics (TAPSE, S', PAPi, VExUS), and the 4-pillar resuscitation strategy.

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