Inclusion Criteria:

• General consent (GC) has not been rejected.

• Age ≥ 65 years.

• Elective percutaneous coronary intervention* (PCI), pulmonary vein isolation* (PVI), pacemaker implantation* (PM, no cardiac resynchronisation), transcatheter aortic valve intervention* (TAVI), major non-cardiac surgery* or presenting with tachyarrhythmia to the emergency department (ED) (without a diagnosis of HF within 24h).

  • Exclusion criteria are assessed on day 1 after the procedure

Exclusion Criteria:

• Systolic blood pressure ≤ 95 mmHg
• Estimated glomerular filtration rate (GFR) <30 mL/min/1.73 m2.
• Dementia documented in the medical history.
• Metastatic cancer in the medical history.
• Previously enrolled in this study.
• Known HF.
• Known allergies, hypersensitivity, or intolerance to SGLT2 Inhibitors / Loop Diuretics / MRA or is excipients.
• Non-resident in the country of the recruiting site
• Incapacity of the patient to make judgements
• Patients not hospitalized overnight
• Patients requiring intensive care unit (ICU) or intermediate care (IMC) stay beyond 11:00 a.m. on the first postoperative day or any post-interventional stroke unit stay until 8:00 a.m. on the first postoperative day.
• Patients died prior to postinterventional day 1 (8:00 a.m.)
• Severe aortic or mitral stenosis