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In this first part, Prof Carolyn Lam and Prof Giuseppe Rosano discuss why there was a need for an update of the 2021 guidelines, and consider the changing landscape following EMPEROR-PRESERVED, DELIVER, STRONG-HF and IRONMAN.
In this short video series, recorded at ESC 2023 in Amsterdam, Prof Carolyn Lam (National Heart Centre Singapore, SG) and Prof Giuseppe Rosano (St George’s University Medical School of London, UK) discuss the latest heart failure guideline updates and what this means for clinical practice.
Since the publication of the 2021 ESC Guidelines, several randomised controlled trials have provided further insight into optimal patient management. As such, this update of the guidelines – developed by the task force of the European Society of Cardiology (ESC) with contributions from the Heart Failure Association (HFA) of the ESC and released at ESC 2023 – aims to best support the diagnosis and treatment of acute and chronic heart failure.
Key Learning Objectives
- Recall the main recommendations set out in the ESC guideline update publication
- Compare the guideline updates to existing full European and American guidelines
- Identify which clinical data has informed specific updated recommendations
- State the likely impact of guideline changes to heart failure patients
- Implement guideline updates to daily practice
Target Audience
- Cardiologists
- Heart Failure Specialists
- Primary Care Physicians
- Nurses
- Pharmacists
- Other Allied HCPs
More from this programme
Part 1
Distilling the New ESC Guideline Update
In this first part, Prof Carolyn Lam and Prof Giuseppe Rosano discuss why there was a need for an update of the 2021 guidelines, and consider the changing landscape following EMPEROR-PRESERVED, DELIVER, STRONG-HF and IRONMAN.
Part 2
Assessing the Impact on Practice
In part two, the discussants consider the recommendations for SGLT2 inhibitor use for both heart failure with mildly-reduced ejection fraction and heart failure with preserved ejection fraction to reduce cardiovascular death and heart failure hospitalisation, and the expected impact on clinical practice.
| 1 session | |
| Assessing the Impact on Practice | Watch now |
Part 3
The Future of Heart Failure Management
In this final part, the physicians discuss the power of early detection in improving outcomes and stress the need for accessible and efficient diagnostic testing for the prevention of heart failure among high-risk patients.
Faculty Biographies
Carolyn Lam
Professor and Senior Consultant Cardiologist
Prof Carolyn Lam is a Senior Consultant Cardiologist and Director of Women’s Heart Health at the National Heart Centre Singapore, where she pioneered the country’s first Women’s Heart Clinic. Internationally recognised for her expertise in heart failure with preserved ejection fraction (HFpEF), Prof Lam has played a key role in landmark clinical trials including PARAGON-HF, EMPEROR-Preserved, DELIVER and FINEARTS-HF.
Her work helped establish the first FDA-approved treatment for HFpEF and the first trial to demonstrate robust clinical benefit in this patient population. A prolific researcher, Prof Lam has authored over 700 peer-reviewed publications in top journals such as New England Journal of Medicine, Lancet, JAMA, Circulation and
Giuseppe Rosano
Consultant Cardiologist and Professor of Cardiology (Hon)
Giuseppe Rosano was born and raised in Vibo Valentia, Italy, where he developed an early interest in medicine and cardiovascular science. While detailed information about his family and early childhood is not widely published, his Italian background and international academic career reflect strong cultural roots combined with global engagement in cardiovascular medicine.
Academic History
Professor Rosano obtained his Medical Degree in Medicine and Surgery with full honours from La Sapienza University of Rome in 1988. He subsequently completed his specialisation in Cardiology in 1992. Following his clinical training, he pursued advanced academic and research qualifications in the United Kingdom, earning both an MSc and a PhD in Medical Sciences from Imperial College London. His postgraduate research focused on cardiovascular physiology and pharmacology, forming the foundation of his future work in heart failure and cardiac metabolism.
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