Multidisciplinary Approach for High Risk Patients Leading to Early Diagnosis of Canadians in Heart Failure (MAPLE-CHF)

Inclusion Criteria: Male or female > 40 years of age Informed consent At least two additional risk factors for Heart Failure (HF): Coronary artery disease (either a previous documented type 1 myocardial infarction or coronary artery bypass grafting or percutaneous coronary intervention or documented stenosis or an epicardial coronary artery (50% left main stem or >70% left anterior descending, circumflex or right coronary artery)). Diabetes type 1 or 2. Persistent or permanent atrial fibrillation. Previous ischemic or embolic stroke. Peripheral artery disease (previous surgical or percutaneous revascularization or documented stenosis >50% of major peripheral arterial vessel. Chronic kidney disease (defined as an estimated glomerular filtration rate (eGFR)<60 milliliters per minute (mL/min)/1.73m2 or eGFR 60-90 mL/min/1.73m2 and urine albumin-creatinine ration (UACR) >300mg/g). Regular loop diuretic use for >30 days within 12 months prior to consent. Chronic obstructive pulmonary disease (COPD) evidenced by one of the following: Pulmonary Function Test (PFT) showing airway obstruction, diagnosis of respiratory physician, CT scan reporting presence of emphysema, or treatment with national guidance advocated COPD therapy. Exclusion Criteria: Inability to give informed consent (e.g. due to significant cognitive impairment). Previous diagnosis of heart failure. This is any diagnosis of heart failure with any ejection fraction of any cause. Renal replacement therapy. Anyone who, in the investigator's opinion, is not suitable to participate in the trial for other reasons e.g., a diagnosis which may compromise survival over the study period.