Abstract：Chronic heart failure (CHF) is a serious manifestation and late stage of various heart diseases with high mortality and re-hospitalization rate. Since 2017, China Cardiovascular Health Alliance has initiated the construction and certification project of China Heart Failure Center, leading hospitals at all levels in China to carry out standardized diagnosis, treatment and management of this disease. Since the establishment of the primary heart failure Center in 2019, the Department of Cardiology of Shanghai Ruijin Rehabilitation Hospital has received whole-course guidance from the Heart failure Demonstration Center, professional medical training and optimized management of patients inside and outside the hospital. The two sides work together to achieve precise treatment and manage heart failure patients in the region. This report presents a case of a 57-year-old male patient who is corpulent and has reduced ejection fraction. After two years of clinic follow-up and medication optimum at the primary heart failure center. The structural abnormalities of his heart were ameliorated, the left ventricular ejection fraction has increased. Blood sugar, weight, and abdominal circumference tend to be normal, the risk of hospitalization and death is reduced, and improves his life quality and ability to function.
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