Inclusion criteria |
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Worsening HF defined as signs of fluid retention (peripheral oedema/congestion) needing an increase of the dose of diuretics (i.v. or oral) |
Evidence for structural underlying heart disease |
Documented reduced left ventricular ejection fraction (LVEF) ≤45% |
18 years of age |
Patients have to be able to understand content of and willing to provide informed consent. |
Exclusion criteria |
History of myocardial infarction in the previous month |
Life expectation less than 1 year |
Undergone cardiac invasive intervention within the last 6 months (PCI, CABG, HTX, valve replacement, CRT implantation) |
A planned procedure for PCI, CABG, HTX, CRT implantation or valve replacement in the following 3 months |
Evaluation for heart transplantation prior to or during the study |
Weight more than 200 kilogram |
The use of telemonitoring devices at home |
Haemodialysis |