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There is conflicting information about whether lung ultrasound assessed by B-lines has prognostic value in patients with heart failure (HF). To evaluate the prognostic value of lung ultrasound assessed by B-lines in HF patients. Four databases (PubMed, EMBASE, Cochrane Library, and Scopus) were systematically searched to identify relevant articles. We pooled the hazard ratio (HR) and 95% confidence interval (CI) from eligible studies and carried out heterogeneity, quality assessment, and publication bias analyses. Data were pooled usin