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QoL is a major concern, it appears that clinical management as well as research efforts do not focus sufficiently on this aspect. There is no good universal understanding of QoL in clinical practice (Sauser et al., 2014). The main outcome measures were mortality or hospital visits/ admissions due to disease and therapy related events, QoL and occurrence of adverse drug effects. In India, mortality rate after one year of HF diagnosis is reported to be 23%, greater than data of several developing countries except Africa (34%). Patients were approximately 10 years younger than patients of U.S. and Europe (Hisham et al., 2017).

Assessment of quality of life and its association with disease severity and nutritional status in heart failure