• May 23, 2026 esc pocket guidelines insuffisance cardiaque broadly classified into two main types: Heart Failure with Reduced Ejection Fraction (HFrEF): Ejection fraction (EF) ≤40%, indicating impaired systolic function. Heart Failure with Preserved Ejection Fraction (HFpEF): EF ≥50%, with diastolic dysfunction. A third category, H By Myrna Torp