Inclusion criteria:
Age older than 18 years old
Heart failure diagnosis
ICD implantation > 6 months before eligibility test
Signed written informed consent to participate in the study
Exclusion criteria:
New York Heart Association Class IV heart failure
Renal dysfunction with eGFR < 20
Hepatic dysfunction
Body mass index < 18.5 kg/m2
Pregnant or suspected pregnancy
Patients with the following events within 3months before the eligibility test: alteration of antiarrhythmic drug, catheter ablation for ventricular arrhythmia, coronary revascularization, open-heart surgery, development of coronary artery disease, stroke or transient ischemic stroke, seizure, infection requiring hospitalization, heart failure requiring hospitalization
Other comorbidities including various infections, major surgery, type 1 diabetes, pituitary or adrenal insufficiency, cancer
ICDs unable to record cardiac arrhythmias