 Methods: The investigators start a multicenter randomized clinical trial. The sample is made of 128 subjects 64 patients treatment group and 64 control group. The investigators measured the self-care level administering to HF patients the Self-Care of Heart Failure Index SCHFI v. 6.2, and the self-perception of own life quality using a Numeric Rating Scale from 0 to 100. Secondary outcomes recorded are i the numbers of accesses to the ED Emergency Department andor hospitalizations during the follow-up period, ii mortality rate due to HF, and iii infection rate of the device pocket. 