The ACC has released an updated Expert Consensus Decision Pathway providing guidance and recommendations on streamlining clinical care to achieve optimal outcomes for patients with heart failure with reduced ejection fraction (HFrEF). The document, published Jan. 11 in the Journal of the American College of Cardiology, is an update to the 2017 ACC Expert Consensus Decision Pathway For Optimization of Heart Failure Treatment. Led by Chair Thomas M. Maddox, MD, MSc, FACC, and Vice Chair James L. Januzzi, Jr., MD, FACC, the Pathway aims to address 10 "pivotal" issues that remain unresolved in clinical guidelines related to how to implement guideline-directed medical therapy; how to address specific challenges like referral, care coordination, specific patient cohorts, etc.; and how to manage areas of increasing complexity, comorbidities and palliative care. Read more.