This study aims to evaluate the association between visual echocardiographic scoring system (visual mitral and tricuspid = VMT score) with clinical outcome among patients with acute decompensated heart failure. Researchers will collect information based on hospital registry as secondary data of in patient who had diagnosed as acute decompensated heart failure. The data consist of demographic data, clinical presentation, laboratory, and echocardiographic result were collected from hospital registry by reviewing medical record and echocardiographic machine database. Then, the data was analyzed by using IBM SPSS Statistics v26.

Inclusion Criteria:

• Patient with history of heart failure with reduced ejection fraction (LVEF <40%)
• Age between 18 - 70 years old

Exclusion Criteria:

• Patient with pulmonary hypertension
• Patient with acute de novo heart failure (e.g. due to acute coronary syndrome)
• Significant valvular heart disease (more than moderate regurgitation or more than mild stenosis)
• Prior valve replacement/repair
• Patient with congenital heart disease
• Patient with pericardial disease
• Patient with poor echocardiographic images

Patient with acute decompensated heart failure who fulfill eligibility criteria