Physiological Signals, Activity and Posture for Surface Mounted Insertable Cardiac Monitor in Heart Failure Study

• Patients with NYHA class II or III heart failure defined by symptoms and signs of heart failure
• Documented episode of decompensated heart failure in the past 3 years, which either: a) resulted in a hospital admission (primary diagnosis) or b) was treated in out-patient clinic
• HFrEF defined by documented evidence of EF ≤ 40% OR
• HFpEF defined by documented evidence of:
• EF ≥ 50% and no prior record of EF \< 40%
• Evidence of relevant structural heart disease or diastolic dysfunction on echocardiographic as defined in the 2016 ESC guidelines
• Able to understand and willing to provide written informed consent to participate in the trial
• Age 21 years old or greater
• Willing and able to participate in the required testing

Exclusion Criteria:

• Prior hospitalization, CV event or surgery within 6 weeks
• Subject is currently enrolled in another clinical trial (excluding registries) that may interfere with the placement of the study system or include the usage of investigational drugs.
• Patients with Active Implantable Medical Devices
• Known allergy to materials used in the study (adhesive tape, titanium, ECG electrodes)
• Have a prosthetic cardiac valve, previously underwent cardiac valve surgery or have hemodynamically unstable (as judged by local investigator) valvular disease
• Subject is pregnant as indicated by patient record
• Patients with rash or open wound on torso locations where investigational devices will be placed
• Patient deemed as clinically unstable or unsuitable to perform prescribed testing as judged by the local investigator