Symptomatic heart failure is clinically categorized into stages C and D. Stage C is the clinical heart failure stage. Stage C is the clinical heart failure stage, in which the patient has underlying structural heart disease and has previous or current signs and/or symptoms of heart failure; or has no current signs and/or symptoms of heart failure, but has experienced heart failure in the past.Stage D is the refractory end-stage heart failure stage. The patient has progressive structural heart disease, remains symptomatic at rest despite aggressive treatment, and requires specialized interventions. This includes those who have to be hospitalized repeatedly for heart failure and cannot be discharged safely; those who have to take intravenous medication for a long period of time; those who are waiting for heart transplantation; and those who are applying cardiac mechanical assist devices, and so on. Hao Enkui, Department of Cardiology, Thousand Buddha Mountain Hospital, Shandong Province, this part of the patient is the most common heart failure patients, after the B stage of compensation, and ultimately, the heart continues to expand, myocardial oxygen consumption increases, cardiac output can not meet the body’s demand for clinical symptoms. the treatment of stage C, including all the treatment of the B stage, and the addition of diuretics, ACEIs, β-blockers. Digoxin may also be added to improve symptoms. Also available are aldosterone receptor antagonists, nitrates and other drugs. In accordance with the principle of prevention, we still pay special attention to patients with stage C, because after timely treatment, patients with mild and early stage C are still in the state of no signs and symptoms of heart failure most of the time. That is, similar to stage B, the treatment and rehabilitation during this period of time can help to slow down the whole course of heart failure and prolong the life of the patient. Of course, in the current Chinese situation, the rehabilitation and prevention of patients with stage C requires the leadership and cooperation of large-scale general hospitals, and cardiologists, in addition to treating hospitalized patients with heart failure, also need to pay attention to and guide the out-of-hospital rehabilitation and treatment of patients, as well as to make the necessary follow-up visits. We observed that in stage C patients, the longer the interval between the first heart failure hospitalization and the second reoccurrence of heart failure, the better the prognosis of the patient and the longer the survival time. Once a patient has another episode of heart failure, it means that the heart function is once again decompensated, and his/her systemic condition will drop to a lower level, and he/she is very likely to enter into a vicious circle and enter into Stage D. The prognosis of patients in this stage of Stage D is extremely poor, with an average survival time of only 3.4 months. In the refractory end-stage heart failure stage, patients have progressive structural heart disease, and despite aggressive anti-heart failure treatment, they are still symptomatic at rest and require special interventions. Examples include: repeated hospitalizations for heart failure; those awaiting heart transplantation; and those requiring mechanical cardiac assist devices. Treatment in Stage D includes all the measures of Stages A, B, and C and may include heart transplantation, left ventricular assist devices, ultrafiltration of blood, ventricular synchronization therapy, and intravenous positive inotropic agents for symptomatic relief, as well as appropriate management of important complications, such as pulmonary hypertension, respiratory sleep disorders, depression, anemia, and renal insufficiency. The treatment and out-of-hospital prophylaxis of both Stage C and Stage D will not be described in detail here, because the information and guidelines in this area are very detailed and can be well grasped and applied by cardiologists in large tertiary care hospitals. However, this article focuses on the concept of proposing solutions before problems occur. Every patient with heart failure needs to take a positive attitude towards their condition and know it in order to reach the standard up to and including stage C. Of course the difficulties are obvious, simple a hypertensive disease in stage A, the current rate of Chinese patients to reach the standard is still less than 10%, heart failure disease principles and treatment principles are relatively complex, how to teach patients in a simple and understandable way, at present, also need to bear the main force of heart failure treatment – tertiary care hospitals cardiologists put down the price of more communication with the patients, and more with the grass-roots doctors and the majority of patients, and also the need for At the same time, there is also a need for health authorities and society to provide as much help as possible to patients with early heart failure, to rely on large general hospitals, to establish heart failure treatment centers that are recognized by patients and have sufficient conditions to control patients with early heart failure, and to carry out new technologies to provide appropriate and as good as possible modern treatments for patients with advanced heart failure.