Heart failure is a complex clinical syndrome with symptoms and signs that result from any structural or functional impairment of ventricular filling or ejection of blood . Most common causes of HF include ischemic heart disease, MI, HTN, valvular heart disease. Advanced stages of HF are associated with overall reduced survival. Therapeutic interventions at each stage aim to mitigate risk factors, treat underlying structural heart disease to prevent HF, reduce symptoms, morbidity and mortality. Patients with acute or chronic HF have worse outcomes as compared to patients without a history of HF. In a 2008 study utilizing Medicare claims data, amongst individuals undergoing AKA, BKA, LE bypass, or open AAA, the 30-day risk of mortality was up to twice as high for patients with history of HF compared to those without HF.