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the stages include patients at risk for heart failure pre-heart failure heart failure and advanced heart failure patients at risk for heart failure are those who do not have symptoms and or signs and but are at future risk for heart failure pre-heart failure is when patients do not have symptoms or signs but may have abnormal cardiac function or structure or abnormal cardiac biomarkers heart failure is when the patients have symptoms and or signs attributable to abnormal cardiac function or structure advanced heart failure is when patients have advanced symptoms requiring repeated hospitalizations referral to advanced care and may need higher levels of care we have specific recommendations for each stage including for patients at risk as well as pre-heart failure to prevent future development of heart failure in addition to specific recommendations for heart failure and advanced heart failure our aim is to reverse the trajectory and prevent development and progression and itamp;#39;s
