Heart Failure

Heart Failure

Welcome to the Heart Failure Guideline and supporting Systematic Review
 

The Heart Failure (HF) 2017 Guideline provides an evidence-based summary of medical nutrition therapy for adults with heart failure - NYHA Classes I-IV/AHA Stages B, C and D (view class table).

For the Systematic Review, which supports the guideline, the workgroup concentrated its efforts on five sub-topics:

  • Medical Nutrition Therapy (MNT)
  • Energy
  • Protein
  • Sodium and Fluid
  • Nutrient Intake and Supplementation:
    • Coenzyme Q10
    • Iron
    • Omega-3 Fatty Acids
    • Thiamin
    • Vitamin D

View the results of 46 evidence analysis questions and conclusion statements by using the links on the left.

The Guideline includes 17 recommendations developed are based on the systematic review, the American College of Cardiology/American Heart Association Task Force 2013 and 2016 Guidelines, and the European Society of Cardiology 2016 Guidelines, in the following topic areas:

  • Medical Nutrition Therapy
  • Nutrition Assessment
  • Assessment of Energy Needs
  • Energy and Protein Intake
  • Sodium and Fluid Intake
  • Physical Activity
  • Educate on Self-Care
  • Coordination of Care
  • Monitor and Evaluate Effectiveness of Medical Nutrition Therapy

The 2017 HF guideline complements the 2008 HF guideline. View the HF Guideline Comparison Table to see changes between the newly published and previous guideline. Since not all of the 2008 recommendations were updated/reviewed, the results of the previous systematic review remain an accessible resource.

Use the left navigation bar to view the HF guideline and supporting evidence. Expand the sections below for a listing of individuals who contributed to the development of the HF projects, disclosures and funding of this project.
 
Updated:  6/30/2017
  • Project Resources
    The following resources were developed from this topic:
     
    • Heart Failure (2017) Guideline Presentation - this 50-slide MS PowerPoint presentation includes all the recommendations and ratings of the Heart Failure 2017 Evidence-based Nutrition Practice Guideline. Ideal for you to use for meetings, in-service presentations and classes (not designed for the consumer). Click to order.
       
    • A Discussion on Vitamins and Dietary Supplements as they relate to Heart Health - This brochure is designed for the general public. Are there vitamins or other dietary supplements that can help heart health? This brochure takes a look at what works and what doesn't. It also looks at other heart disease risk factors. Click to order. 
       
    • Heart Failure 2017 Evidence-Based Nutrition Recommendations Pocket Guide - This practical quick-reference pocket guide contains the HF2017 evidence-based graded recommendations.Avaialble in print and digital format. 
      • Print format: 4.25"x7.25" multifold. Learn more...
      • Digitial format: compatible with iPhone, iPad and Android products. Learn more ...
  • Project Team and Disclosures (2008)
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members
    • Toni Kuehneman, MS, RD, LMNT, Chair
    • Mark A. Dinga, MEd, RD, LDN
    • Patricia Davidson, DCN, RD, CDE
    • Rita A. Frickel, MS, RD, LMNT
    • Mary Beth Russell, RD, LN, CDE
    • KC Wright,MS, RD, LD
    Lead Analysts
    • Mikelle C. McCoin, MPH, RD
    • Ellen D. Parham, PhD, RD, LD
    Evidence Analysts
    • Cinda S. Chima, MS, RD, LD
    • Joan A. Pleuss, MS, RD, CDE, CD
    • Toni Tucker, MA, RD
    Guideline Reviewers
    • Linda Young, MS, RD, LMNT
    • Sheri Rowland, APRN
    • Patricia Splett, PhD, MPH, RD, FADA
    • Donna Schultz, RN
    • Allen Anderson, MD
    Academy Staff
    • Deborah Cummins, PhD
    • Kari Kren, MPH, RD
    • Esther Myers, PhD, RD
    • Laurie Sweet, MHA, MS, RD, LD
    Financial Contributor
    • Academy of Nutrition and Dietetics
    • Commission on Dietetic Registration

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.
    • None of the workgroup members listed above disclosed potential conflicts.
  • Project Team and Disclosures (2017)
    The following individuals contributed their valuable time and expertise to this project:

    Workgroup Members
    • Toni Kuehneman, MS, RDN, LMNT, Chair
      Cardiac Dietitian, Algent Creigton Health (1996-2016) Retired (2016-2017), Omaha, NE, USDA
    • Patricia Davidson, DCN, RDN, CDE, LDN, FAND
      Assistant Professor, West Chester University, Exton, PA, USA
    • Desiree deWaal, MS, RD, CD, FAND
      Clinical Dietitian, University of Vermont Medical Center, Burlington, VT, USA
    • Rita Anne Frickel, MS, RDN, LMNT
      Clinical Dietitian, Catholic Health Initiatives, Omaha, NE, USA
    • Mary P. Gregory, RD, LDN
      Clinical Dietitian, Advocate Christ Medical Center, Oak Lawn, IL, USA
    • Carrie King, PhD, RD, CDE, LD
      Associate Professor, University of Alaska Anchorage, Anchorage, Alaska, USA
    • Deborah Saulsbury, MPH, RD (resigned 12/2014)
      Jacksonville, FL, USA
    Lead Analysts
    • Erica K. Gradwell, MS, RD
      Independent Contractor, Arvada, CO, USA
    • Elizabeth Droke, PhD, RDN
      Professor, South Dakota State University, Brookings, SD, USA
    Evidence Analysts
    • Lisa Moloney, MS, RD
      Evidence Based Practice Manager, Academy of Nutrition and Dietetics, Chicago, IL, USA
    • Taylor Wolfram, MS, RD (resi/gned 5/2015)
      Evidence Based Practice Manager, Academy of Nutrition and Dietetics, Chicago, IL, USA
    Project Manager and Methodologist
    • Deepa Handu, PhD, RD
      Program Manager, Academy of Nutrition and Dietetics, Chicago, IL, USA
    Guideline Reviewers
    • names to be added at conclusion of external review
    Financial Contributors
    • The Heart Failure systematic review and evidence based guideline was fully funded by the Academy of Nutrition and Dietetics.

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted teh policy of revealing relationships workgroup members have with companies that sell products or services tat are relevant to this topic. Workgroup membres are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have adverse impact on the content, but they are noted here to fully inform readers:
    • None of the workgroup members listed above disclosed potential conflicts.