Minimal to Rapidly
Like most issues, varies widely.
CHF typically progresses slowly over yrs to decades & not recognized until symptoms are severe enough that people finally seek help (way down the road) due to shortness of breath (lung edema
), leg edema, increasing fatigue, etc. Alternatively, if detected early, before symptomatic, & txed aggressively, lipoproteins, BbA1c, BP, ACEI+coreg
, can significantly reverse.