The Fifth Pillar? Closing the Gap in HFrEF
14 November 2025

The Fifth Pillar? Closing the Gap in HFrEF

CME

About
Faculty: Carolyn S. P. Lam, MBBS, PhD, MRCP, MS, FACC, FAMS, FESC


Faculty: Javed Butler, MD


Faculty: Stephen J. Greene, MD, FACC, FHFSA




For patients with heart failure with reduced ejection fraction (HFrEF), optimizing therapy is an important part of treatment and care. But not all patients may be reaching their treatment goals and can continue to face substantial residual risk despite the use of quadruple pharmacologic guideline-directed medical therapy (GDMT) and medical devices. A soluble guanylate cyclase (sGC) stimulator that targets a previously unaddressed pathway in HFrEF and complements other GDMT may provide an incremental benefit to patients to positively impact outcomes.