Key result
Interventional heart failure remains fragmented with informal training pathways despite decades of reform calls.
Why the study?
Interventional heart failure has emerged as a distinct clinical discipline but lacks unified training pathways, a recognized workforce, and integrated evidence systems despite its growing importance.
This narrative review highlights the need for formalized training and infrastructure to establish Interventional Heart Failure as a recognized clinical discipline.
Persistent fragmentation in interventional heart failure training may limit optimal device-based care; leaves open the creation of standardized fellowships and integrated evidence systems.
Interventional heart failure (IHF) has emerged as a clinical discipline that integrates advanced heart failure (HF) management with catheter-based procedural expertise across the full spectrum of HF severity, occupying the intersection where neither interventional cardiology nor advanced HF and transplant cardiology alone is optimally equipped. Its rationale rests on 2 converging forces: an expanding device ecosystem and an evolving cardiogenic shock paradigm. A defining principle is that patient selection determines benefit, yet the field's infrastructure has not kept pace. Training pathways remain fragmented and informal, the workforce is small and works across departmental boundaries, and evidence systems are siloed. This narrative review consolidates the clinical rationale, device landscape, training and workforce challenges, patient selection principles, and evidence gaps defining the current state of IHF and examines why 2 decades of calls for unified IHF training have not produced a recognized discipline.
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Zayed et al. (2026) conducted a review in Heart failure. Interventional heart failure remains a fragmented discipline with informal training pathways and siloed evidence systems despite two decades of calls for unified training.
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