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For severe symptoms such as intense abdominal pain, persistent vomiting, signs of dehydration, or suspected pancreatitis, contact NHS 111 or attend urgent care/A&E as appropriate

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Graphical Abstract 1 Introduction Heart failure (HF) is the final stage of various cardiovascular diseases, affecting more than 26 million individuals worldwide, with a 5-year mortality rate nearing 50% (Khan et al., 2024)

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