Acknowledgements 223 To collaborators from BigData@Heart, the Malaysian heart failure metrics study, and co-authors. Dear Megan Schroeder, dr. Gianluigi Savarese, dr. Alicia Uijl, prof. dr. Marinus (Rene) JC Eijkemans, prof dr. Christoph Gerlinger, dr. Maureen Cronin, dr. Benoit Tyl, dr. Eleni Vradi, dr. Kiliana Suzart-Woischnik dr. Vanessa BlancGuillemaud, Fabrice Couvelard, dr. Claire Baudier, dr. Tomasz Dyszynski, prof. dr. Lars Lund, prof. dr. Arno W Hoes, dr. Sandra Waechter, dr. Jasper J Brugts, prof. dr. HansPeter Brunner-La Rocca, Ong Su Miin, dr. Liew Houng Bang, dr. Jeyamalar Rajadurai, prof. dr. Adriaan A Voors, dr. Ayoub Bagheri, prof. dr. Spiros Denaxas, prof. dr. Carolyn Su Ping Lam and Tay Wan Ting, it has been an invaluable and rewarding experience working with you. Many thanks to Gianluigi for making me feel welcome while working at Karolinska Institutet in October 2019. I would like to thank my reading committee prof. dr. Michiel L Bots, Prof. dr. Tiny Jaarsma, prof. dr. ir. Hester M den Ruijter, prof. dr. Adriaan A Voors and dr. Mira GP Zuidgeest for reading my thesis and being part of my assessment committee. Dear Datin Dr. Sheamini Sivasampu, dear Dato’ Dr. Goh Pik Pin, thank you for believing in me and for your constant encouragement to pursue this PhD. I am indebted to you, for the extra mile that you go in ensuring that my study leave gets approved and in setting up the first national metrics for heart failure which becomes an important part of this PhD. To the secretaries from Julius Center, Cardiology, MSc Epidemiology team and ICT department, thank you Jantine, Giene, Bert, Johan, Jetske and Maud for your kindness and patience with my many requests and questions during my time here. Dear Amy, you have been the crucial link to UMC Utrecht. Thank you for introducing your supervisors; for being an amazing, ever patient and supportive friend and colleague through this time. You are one of the most understanding and resilient persons that I know. Thank you for bearing with me as I can be difficult, especially when we have differing opinions. My dearest paranymphs, Sanjana and Machteld, I am extremely grateful to both of you. Dear Sanjana, my first year in Utrecht would have been thoroughly dull and lost if I hadn’t got to know you. You are a wonderful friend, one that I knew I could always count on. Thank you, I enjoyed the day trips, Christmas market visit, long dinners and game nights with your sister and friends. Dear Machteld, you truly brighten my days at the Cardiology PhD room. I do miss your home-made breads, cakes and cookies now that I am back in Kuala Lumpur. Thank you for translating the
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