Heart Failure Society of America and American Society for Preventive Cardiology Joint Statement Calls for a Shift in Heart Failure Prevention and Care
For the first time, a joint scientific statement from the Heart Failure Society of America (HFSA) and the American Society for Preventive Cardiology (ASPC) places prevention at the forefront of heart failure care, marking a pivotal shift in how the field approaches the disease. Jointly published in the Journal of Cardiac Failure (JCF) and the American Journal of Preventive Cardiology, "The Continuum of Prevention and Heart Failure in Cardiovascular Medicine" provides an integrated framework of preventive strategies across all stages of heart failure, regardless of ejection fraction, from risk identification in healthy individuals to secondary prevention in those with established disease, and even tertiary strategies in patients with advanced therapies such as LVADs or heart transplants.
The statement reframes heart failure as a preventable condition rather than an inevitable outcome, calling for clinicians to identify and manage risk factors earlier, even decades before symptoms arise. For patients, this means heart failure prevention begins not in the hospital, but at routine health visits, through strategies like blood pressure control, glucose management, weight loss, genetic risk screening, and lifestyle interventions. This is the first national roadmap to formally link preventive cardiology with heart failure management, emphasizing a collaborative, multidisciplinary model.
"This is a wake-up call for the field," said Martha Gulati, MD, MS, co-lead author. "We need to break down silos between preventive cardiology and heart failure care and create seamless strategies to identify and manage risk earlier. This needs to be a part of cardiovascular disease prevention."
"Prevention in heart failure isn't a phase—it's a mindset. It applies not only before the onset of disease but continues after diagnosis and even following heart replacement therapy. At every stage, prevention ensures we care for the whole person, not just the failing heart," added Anuradha Lala, MD, co-chair. "This joint statement equips clinicians with a roadmap for early intervention, team-based care, and emerging tools to improve outcomes."
Key Highlights from the Statement:
Expanded Focus on Risk Factors: Emphasizes both traditional risks, such as hypertension, diabetes, and obesity, and emerging drivers including sex-specific (e.g., hypertensive disorders of pregnancy, premature menopause), genetic, environmental, and social determinants of health.
Lifespan-Based Prevention Framework: Advocates for prevention strategies across all stages of heart failure, from at-risk individuals to those with advanced therapies.
Use of Innovative Tools: Supports incorporation of biomarkers, polygenic risk scores, and AI-based models to improve early detection and risk stratification.
Team-Based Care Models: Promotes multidisciplinary collaboration across specialties to deliver coordinated, preventive cardiovascular care.
Holistic Approach to Prevention: Stresses the role of lifestyle, nutrition, cardiac rehab, psychological health, and equity-driven care in improving outcomes.
The statement urges institutions and clinicians to adopt a prevention-first mindset to curb the growing burden of heart failure.
The Continuum of Prevention and Heart Failure in Cardiovascular Medicine: A Joint Statement from the Heart Failure Society of America and the American Society for Preventive Cardiology is available online in the JCF at www.onlinejcf.com.
In addition to reviewing the guidance found within The Continuum of Prevention and Heart Failure in Cardiovascular Medicine: A Joint Statement from the Heart Failure Society of America and the American Society for Preventive Cardiology, clinicians can use the Top Take-Home Messages slide deck, designed by the statement's lead author, as a quick reference guide, available on the hfsa.org website.
View all HFSA published scientific statements, guidelines and other clinical documents.
About the Heart Failure Society of America
The Heart Failure Society of America, Inc. (HFSA) represents the first organized effort by heart failure experts from the Americas to provide a forum for all those interested in heart function, heart failure, and congestive heart failure (CHF) research and patient care. The mission of HFSA is to provide a platform to improve and expand heart failure care through collaboration, education, innovation, research, and advocacy. HFSA members include physicians, scientists, nurses, nurse practitioners, pharmacists, trainees, other healthcare workers and patients. For more information, visit hfsa.org.
About the Journal of Cardiac Failure
The Journal of Cardiac Failure (JCF) publishes the highest quality science in the field of heart failure with a focus on diversity, equity, and inclusion, mentorship, multidisciplinary partnerships, and patient-centeredness. Published papers span original investigator-initiated work to state-of-the-art reviews, guidelines and scientific statements, expert perspectives, early career and trainee spotlight pieces, patient and patient-partner narratives. JCF also emphasizes the power of language and prioritizes innovative approaches to dissemination of published work to reach and impact the broader heart failure community.
About the American Society for Preventive Cardiology
When the ASPC was founded in 1985, its members were academic physicians and educators, including frequent recipients of the National Heart, Lung, and Blood Institute (NHLBI) Preventive Cardiology Academic Award (PCAA). The organization's goals were to develop programs that enhanced basic and clinical education, and to initiate and expand interdisciplinary clinical services and research initiatives in preventive cardiology. In 2009, the goals of the organization became broader. Membership has grown to more than 1,400 academic and clinical practitioners as the ASPC seeks to represent the increasingly multidisciplinary group of health care providers (including physicians, nurses, nurse practitioners, dieticians, and other allied health care specialists) along with researchers who share an interest in and passion for preventive cardiology.
The mission of the American Society for Preventive Cardiology is to provide a framework for the educational interests of health care providers to promote the primary and secondary prevention of cardiovascular disease. The specific goals of the organization are to organize and conduct professional educational programs to emphasize the processes of risk factor identification and intervention based on the most rigorous basic, clinical, and population science. Objectives to achieve these goals include stand-alone CME/CE and non-CME/CE programs on CVD prevention, and partnerships with other professional groups to present and promote CME/CE and non-CME/CE programs on CVD prevention and to enhance opportunities for preventive cardiology at all levels of professional development.
Media Contact: Laura Poko, 301-798-4493, ext. 226, lpoko@hfsa.org
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SOURCE Heart Failure Society of America
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