Key result
Updated 2023 ESC cardiomyopathy guidelines prioritize phenotype-based classification, genetics, CMR, and individualized exercise.
Why the study?
The 2023 ESC guidelines provide the first comprehensive recommendations for the management of cardiomyopathies, requiring critical appraisal and dissemination of key messages.
This document provides a critical summary of the 2023 ESC guidelines on cardiomyopathies, emphasizing phenotype-based classification, advanced imaging, genetic testing, and sports recommendations.
Aids integration of 2023 ESC phenotype-based cardiomyopathy guidance into practice; leaves open prospective validation of sports and follow-up recommendations.
Last year, the European Society of Cardiology (ESC) published the first guidelines to comprehensively address the management of cardiomyopathies. This document by the Working Group on Myocardial and Pericardial Diseases of the Italian Society of Cardiology aims at highlighting the most relevant messages and novelties introduced by these guidelines for the management of patients affected by cardiomyopathies. Five main messages are summarized: the key role of the phenotype, the new classification of cardiomyopathies provided in the ESC guidelines, the importance given to new techniques such as cardiac magnetic resonance (CMR) and genetic testing, the newly provided recommendations given on sport activities and finally how the importance of follow-up evaluations is highlighted. These five main messages are then further analyzed more in depth so as to inform the reader on all the main novelties of the guidelines and to provide a critical approach to this important document.
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Merlo et al. (2025) conducted a review in Cardiomyopathies. 2023 European Society of Cardiology guidelines on cardiomyopathies was evaluated. This document highlights five main messages from the 2023 ESC guidelines on cardiomyopathies, including phenotype role, new classification, CMR and genetic testing, sports, and follow-up.
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