cultural changes in our country in the past two decades it is crucial to understand the new trends of this overwhelming syndrome. The real prevalence of HF in Portugal is unknown; additionally the exact number of hospitalizations due to HF is also ignored. 4 Therefore, faith is deposited in the prevalence study PORTHOS 5 to answer these paramount questions. Based on the 2011 Portuguese Census, there is an estimated 380000 HF patients in Portugal 6 and it is estimated that this population will reach half a million individuals in 2035. 4 In 2014, HF represented a national economic burden of about 400 million euros and it is estimated that in 2036 this cypher will ascend to 500 million euros. 7 Notably, admissions are the main responsible for such expenditure. 7