Background We Face an epidemic of HF a Affecting 0.4-2%of total population, 8-10% of elderly a the global HF patients have up to 2250 million increasing at 200 million per year The prognosis of HF similar to cancer or even worse a The 20% patients with hF readmission after discharged from hospital in 30 days Less than 50% patients survival 5 years from the diagnosis of heart failure a Average survival time is 16 month, in hospital only 25% survival 5 yearsWe Face an epidemic of HF  Affecting 0.4-2% of total population， 8-10% of elderly  The global HF patients have up to 2250 million， increasing at 200 million per year  The prognosis of HF similar to cancer or even worse  The 20% patients with HF readmission after discharged from hospital in 30 days  Less than 50% patients survival 5 years from the diagnosis of heart failure  Average survival time is 16 month ， in hospital only 25% survival 5 years Background