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However, they have risk factors that predispose them towards heart failure development. Patients in stage C comprise of those people with current or past&nbsp.symptoms of heart failure that is associated with underlying structural heart disease. Patients in stage D have refractory heart failure. These patients can be treated by hydralazine, atrial fibrillation and sinus rhythm, cardiac resynchronization therapy, and hospitalizing the patient.&nbsp.After treatment, I ensured that there was follow-up care.&nbsp.