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Heart Failure Management Algorithm

Aug 29, 2025

Overview

This lecture reviews the evidence-based therapeutic algorithm for managing heart failure with reduced ejection fraction, highlighting stepwise pharmacological treatment, monitoring, and referral criteria for Canadian primary care physicians.

Importance of Heart Failure Management

  • Heart failure has a higher mortality risk than several cancers.
  • Most Canadian heart failure patients are managed by primary care physicians.
  • Evidence-based management improves outcomes in heart failure with reduced ejection fraction.

2017 CCS Heart Failure Guidelines & Algorithm

  • The 2017 Canadian guidelines offer updated recommendations integrating the last decade of research.
  • The therapeutic algorithm has three main steps focused on medication titration and assessment.

Step 1: Initiate Standard Triple Therapy

  • Triple therapy includes an ACE inhibitor, beta blocker, and mineralocorticoid receptor antagonist (MRA).
  • Substitute an ARB for ACE if ACE is not tolerated.
  • Titrate all medications to maximally tolerated or target doses within 4–6 months.
  • Regular follow-up is required; stable patients may be seen every 6–12 months.
  • Repeat echocardiography 3 months after completing titration.

Step 2: For Symptomatic Patients (NYHA Class II or Higher)

  • If symptoms persist, add Evabradine for patients with sinus rhythm and heart rate ≥70 bpm.
  • Consider switching ACE/ARB to an ARNI (Secubitril Valsartan), unless contraindicated.
  • Evabradine is an add-on, not a replacement for beta blockers.
  • A 36-hour washout is required when switching from ACE to ARNI; not needed from ARB.
  • Monitor potassium, renal function, and blood pressure due to ARNI side effects.

Step 3: Advanced Therapy and Referral

  • Reassess symptoms and ejection fraction after medication changes.
  • NYHA Class I: Reassess every 1–3 years if stable.
  • NYHA Class I–III with LVEF ≤35% after 3 months: Refer for device therapy.
  • NYHA Class IV: Refer to a cardiologist or heart failure clinic.

Additional Management Considerations

  • Treat underlying causes (e.g., ischemia, hypertension, valvular disease).
  • Use lowest effective diuretic dose to maintain fluid balance.
  • Manage lifestyle: exercise, salt and fluid intake, daily weight, immunizations, and self-care education.
  • Multidisciplinary teams improve outcomes.

Key Terms & Definitions

  • Reduced Ejection Fraction (HFrEF) — Heart failure with decreased ability of the heart to pump blood (LVEF ≤40%).
  • Triple Therapy — Combination of ACE inhibitor (or ARB), beta blocker, and MRA.
  • ARNI — Angiotensin receptor neprilysin inhibitor (e.g., Secubitril Valsartan).
  • NYHA Classification — Grading of heart failure symptoms from I (asymptomatic) to IV (severe).
  • Evabradine — Heart rate-lowering agent for symptomatic patients in sinus rhythm with high heart rate.

Action Items / Next Steps

  • Prescribe and titrate heart failure medications per guideline algorithm.
  • Monitor patients and reassess symptoms and LVEF regularly.
  • Refer to a cardiologist or heart failure clinic as indicated.
  • Review full CCS heart failure guidelines as needed.