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An international committee proposed a universal definition for heart failure (HF) and two standard classifications that go beyond reduced and preserved left ventricular ejection fraction (LVEF). HF is a clinical syndrome with symptoms and or signs caused by a structural and or functional cardiac abnormality and corroborated by elevated natriuretic peptide levels and or objective evidence of pulmonary or systemic congestion, according to the consensus document from the Heart Failure Society of America (HFSA), European Society of Cardiology, and Japanese Heart Failure Society.
This is a slight difference from the definition of HF from the American College of Cardiology (ACC) and American Heart Association: a complex clinical syndrome that results from any structural or functional impairment of ventricular filling or ejection of blood.