Background: Globally, heart failure is a rapidly growing public health problem with an estimated prevalence of >37.7 million. It is a shared chronic phase of cardiac functional loss secondary to many etiologies. Objective: The main purpose of this study was to investigate the risk of longitudinal change in pulse rate on time to default from treatment among congestive heart failure patients. Methods: Hospital-based retrospective studies were conducted among 302 congestive heart failure patients who were 15 years old or older and who were on treatment follow-up from the