RT Book, Section A1 Meyer, Sara Anne A2 Sutton, S. Scott SR Print(0) ID 1213342832 T1 Chronic Heart Failure T2 McGraw Hill’s NAPLEX® Review Guide, 5th Edition YR 2024 FD 2024 PB McGraw Hill PP New York, NY SN 9781265383343 LK accesspharmacy.mhmedical.com/content.aspx?aid=1213342832 RD 2025/07/08 AB Heart failure (HF) is a syndrome of reduced cardiac output (CO) resulting from impaired ventricular ejection, impaired filling, or components of both. HF with reduced ejection fraction (HFrEF) was formerly known as systolic dysfunction, whereas HF with preserved ejection fraction (HFpEF) was formerly known as diastolic dysfunction. Although half of HF cases are due to HFpEF, the majority of clinical studies enroll patients with HFrEF. Chronic HFrEF management includes lifestyle modifications, medications, and implantable devices. Guideline-directed medical therapy (GDMT) for HFrEF includes four medication classes that now includes sodium-glucose cotransporter-2 inhibitors (SGLT2i). However, there were minimal to no evidence-based therapeutic approaches for HFpEF management until recently.