Understanding the Heart Failure Evolution as an Important Step toward Optimized Treatment

Abstract

Heart failure is a dynamic syndrome with changing clinical trajectories. This dynamics may be captured in several ways, including alterations in cardiac structure and function and by patient' clinical status. The meticulous and long-term follow-up, together with continuation of medical treatment or by applying interventional treatment procedures where possible and reasonable, is recommended to ensure that exacerbation or recurrence of HF symptoms or left ventricular dysfunction do not occur. In this sense, a registry-based longitudinal study by Frankestein and coworkers, published in this issue of Cardiology, gives an important contribution to better understanding of HF evolution.