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The prevalence of heart failure (HF) and the complexities of its management increase with age. Our city serves a population of 551,800inhabitants with a growing elderly population. The size of the 90years and above age group has increased by 26% since 2001 to 4300people.Patients with suspected HF and a natriuretic peptide (NTproBNP) greater than 400pg/mL undergo an echo and are reviewed by a HF cardiologist...