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Five-year cumulative incidence of all-cause death was 14% (95%-confidence interval [CI]13-14). Risk of death was increased for patients first diagnosed in hospital compared to outpatient clinics (hazard ratio 1.51, 95%-CI1.38-1.65, p less then 0.001). Five-year cumulative incidence of HF hospitalization 18% (95%-CI, 18-19) and intensification of diuretic therapy 14% (95%-CI, 14-15). CONCLUSIONS In patients ≤70 years without severe comorbidity, five-year mortality was only 14% and almost 2/3 were alive after 5 years without evident HF prog