The ACC is seeking comments on a draft of the 2020 Update to the 2017 ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment: Answers to 10 Pivotal Issues About Heart Failure With Reduced Ejection Fraction. This document addresses existing and emerging medical therapies, prevention and comorbidities relevant to HFrEF for which data are available. While the 10 pivotal issues still apply, associated treatment algorithms and tables have been updated to accommodate this evolving evidence to provide practical consensus approaches where information voids exist. Comments are due Monday, Sept. 7. Access the document and public comment response form and submit comments to [email protected].