Sahle BW, et al. - The goal of this paper was to bring to light the long-term survival of incident heart failure (HF) patients. It also determined the clinical features linked to mortality. Poor long-term survival was noted in an elderly HF patients, especially in men. The data disclosed a progressively increased mortality in HF patients with advancing age, while allocation to the angiotensin-converting enzyme (ACE) inhibitor-based regimen for the initial trial significantly improved HF outcome.