）Check for updatesESCEuropean Journal of Heart Failure 2023)POSITION PAPEREuropean Societydot10.1002/ehf.2874of CardiologyWorsening of chronic heart failure:definition,epidemiology,management and prevention.A clinical consensus statement by the HeartFailure Association of the European Societyof CardiologyMarco Metra1,#,Daniela Tomasoni1,#,Marianna Adamo1*,Antoni Bayes-Genis2,Gerasimos Filippatos3,Magdy Abdelhamid4,Stamatis Adamopoulos5,Stefan D.Anker6,Laura Antohi7,8,Michael Bohm%,Frieder Braunschweig10,Tuvia Ben Gal11,Javed Butler12,John G.F.Cleland13,Alain Cohen-Solal14,Kevin Damman15,Finn Gustafsson16,Loreena Hill17,Ewa A.Jankowska18,Mitja Lainscak19,Lars H.Lund9,Theresa McDonagh20,Alexandre Mebazaa21,Brenda Moura22,23,Wilfried Mullens24,Massimo Piepoli25,26,Piotr Ponikowski18,Amina Rakisheva27,Arsen Ristic28,Gianluigi Savarese?,Petar Seferovic28,Rajan Sharma29,Carlo Gabriele Tocchetti30,Mehmet Birhan Yilmaz31,Cristiana Vitale32,Maurizio Volterrani32,Stephan von Haehling33.34,Ovidiu Chioncel6,7,Andrew J.S.Coats35,and Giuseppe Rosano32Cardiology.ASST Spedali Civili di Brescia,Department of Medical and Surgical Specialties,Radiological Sciences,and Public Health,University of Brescia,Brescia,Italy:2HeartInstitute.Hospital Universitari Germans Trias i Pujol,Badalona.CIBERCV.Universitat Autonoma de Barcelona,Barcelona.Spain:3Depar tment of Cardiology.Attikon UniversityHospital,School of Medicine,National and Kapodistrian University of Athens.Athens,Greece:Faculty of Medicine,Cairo University.Giza,Egypt52nd Department ofCardiovascur Medicine.Onassis Cardiac Surgery Center.Athens.Greece:Department of Cardiology(CVK):and Berlin Institute of Health Centeror Regenerative Therapies(BCRT):German Centre for Cardiovascular Research(DZHK).partner site Berlin,Charite Universitstsmedizin Berlin,Berlin.Germany:'Emergency Institute for CardiovascularDiseases'Prof.C.C.lliescu'.Bucharest,Romania;University of Medicine Carol Davila,Bucharest,Romania:9Saarland University Hospital,Homburg/Saar.Germany:10Deparmntof Medicine.Karolinska nstitteand Department of Cardiology.Karolinska University Hospital Stockholm.Sweden:1Sackler Faculty of Medicine.Tel AvivUniversity.Tel Avlv,rael:12Baylor Scott and White Research Institute.Dallas.TX.USA:Department of Medicine.University of Mississippi Jackson.MS.USA:13British HeartFoundation Centre of Research Excellence.School of Cardiovasubar and Metabolic Health.University of Glasgow.Glasgow.UK:14Inserm 942 MASCOT.Universite de Paris.AP.HP Hopital Lariboisiere.Paris.France:15University of Groningen.Department of Cardiology.University Medical Center Groningen.Groningen.The Netherlands:1Rigshospitalet-Copenhagen University Hospital.Heart Centre.Department of Cardiology Copenhagen.Denmark:17Queens University Belfast.Belfast.UK:1InstituteofHeart Diseases.Wrockaw Medical University.Wrocaw.Poland:1 Faculty of Medicine.University of Ljubljana.Ljubljpana.Slovenia:Divisionof Cardiology.General Hospital MurskaSobota.Murska Sobota.Slovenia:Dep
