congestive heart failure pacemaker life expectancy

Open-heart surgery: For patients with advanced heart failure that’s somewhat stable, surgery may be an option. 2. (1) Free Brochure The average life expectancy og pacemaker is about 10 years. Pacemaker can last for 15 years or longer depending on frequency of use and few other factors that may cause unnecessary discharge of electric power. Introduction. The prognosis and life expectancy for congestive heart failure can vary based on many factors. ­The human heart is an important organ of the cardiovascular system. The majority of patients with hypertrophic cardiomyopathy have no symptoms and most have a near-normal life expectancy. The other thing that really helps in cases of heart failure is keeping active. An overview of heart failure by Dr. Roger Seheult of http://www.medcram.com. Chronic kidney disease (CKD) is the disease in which the gradual loss of kidney functions found to get occur. Life expectancy rates vary depending on the class of the condition, the age of the patient and other medical or genetic factors. Open-heart surgeries require stopping the heart and using a heart-lung machine to circulate and oxygenate blood until the heart is restarted after the procedure. Some congestive heart failure patients are candidates for a type of pacemaker called biventricular pacing therapy, which helps both sides of the heart work in concert, or an implantable cardioverter defibrillator, which shocks the heart into converting a potentially fatal fast rhythm to a normal one. More than 6 million U.S. adults have heart failure. CRT pacemakers do not help in all cases of heart failure, but we now have highly effective medications, such as ACE inhibitors and beta blockers. Two patients (2.5 per cent) died during the postoperative period and 19 patients within a period of 3 months to 6 years after the implantation. Only a doctor can make a clinical determination of congestive heart failure life expectancy. Only a doctor can make a clinical determination of congestive heart failure life expectancy. Guidant congestive heart failure research group. diuretics, digitalis, anti-coagulants, ACE inhibitors) are designed to forestall life-threatening congestive heart failure and the development of ventricular arrhythmias. However, at times, a person can develop a condition known as pacemaker syndrome. These medications (e.g. End-of-Life Signs: Congestive Heart Failure. Heart failure often is the end stage of another form of heart disease. Get the Free App for Members. It can develop into congestive heart failure, meaning the heart has an inability to pump the blood. Cardiac resynchronization in chronic heart failure. In some cases, sudden cardiac death is the first symptom of the illness. 1. How Long Can A Dog Live With Congestive Heart Failure? Even normal activities make them tired. Pacemaker implanted. Heart failure is a pathophysiological state in which cardiac output is insufficient to meet the needs of the body and lungs. It happens due to a desynchronization or the left and right ventricle due to continuous pacing. Heart and kidney failure life expectancy depends upon the stage of the disease and the condition of the patient. However, heart failure can be life-threatening. N Engl J Med. Chronic kidney disease (CKD) is the disease in which the gradual loss of kidney functions found to get occur. People with heart failure may have severe symptoms, and some may need a heart transplant or a ventricular assist device (VAD). It's a type of coughing or wheezing that occurs with left heart failure. The term "congestive heart failure" is often used, as one of the common symptoms is congestion, or build-up of fluid in a person's tissues and veins in the lungs or other parts of the body. Atrial fibrillation and congestive heart failure are morbid conditions that share common risk factors and frequently coexist. 8(2), 137–140 (2010) “Although survival after the onset of congestive heart failure has improved owing to better healthcare, the incidence of heart failure has not declined during the last 20 … Can be used in heart failure patients … What is chronic kidney disease? Having a pacemaker should not significantly alter or disrupt your life. A pacemaker is used in congestive heart failure to treat three specific conditions which result in arrhythmia: (a) heart failure; (b) an abnormally slow heartbeat; (c) an abnormally fast heart beat. You will need surgery to replace the battery, which lasts 8 to 10 years. After battling congestive heart failure (CHF) for many years, Morris felt like it was time to consider hospice care. You take medicines for heart failure. But with improved treatments, overall deaths from AFib have dropped. The 5-year survival rate increased from 41% to 48%, and the 10-year survival rate rose from about 20% to 26%. A new study shows nearly two-thirds of people with congestive heart failure overestimate their remaining life expectancy by an average of 40% compared with … Yes, a pacemaker can cause heart failure. About half of people who develop heart failure die within 5 years of diagnosis. What is chronic kidney disease? In an attempt to treat symptoms and prolong life, doctors may prescribe medications, such as beta blockers, ACE inhibitors and diuretics to help improve heart function and treat symptoms, such as swelling and fluid retention. Most people with end-stage heart failure have a life expectancy of less than 1 year. Other things may do that. A 90 year old man has approximately a 6% chance of living to 100. The researchers found survival rates of 93%, 81%, 69% and 61% after 1, 3, 5 and 7 years respectively. Generally, early diagnosis and following a treatment plan … There is no cure for CHF so, as the disease progresses, signs and symptoms get worse and other organs start to fail. Your doctor will check many things including: footnote 1. The average life expectancy og pacemaker is about 10 years. According to MedlinePlus, when the heart cannot pump blood effectively, the blood backs up in areas of the body.This causes fluid congestion in various tissues and compartments in the body. In the article below, we will focus on congestive heart failure/CHF prognosis, the estimates on how long can you live with congestive heart failure, and the average CHF life expectancy for a given stage of the disease. I understand you are concerned with CHF; which is usually treatable. Don't get a pacemaker Don't get a pacemaker. His GP has rung to say he wants to discuss the results of his blood tests next week as they are indicative of CHF. A 90 year old man has a 4 year life expectancy. ... and quality of life ... Atrioventricular nodal ablation and pacemaker placement. Some people whose CHF is discovered early and treated promptly and effectively can hope to have a nearly normal life expectancy. End-Stage Heart Failure: Signs it Might Be Time for Hospice. Congestive heart failure (CHF) happens when the heart becomes weak and can’t pump blood effectively to meet the demands of your body. Congestive heart failure is a chronic, progressive condition leading to the heart’s inability to pump blood. CHF often goes undiagnosed, particularly in mild cases, and yet even with the best therapy it is associated with an annual mortality of 10%. Using of a pacemaker for congestive heart failure patients helps in enhancing the survivability and also improving the quality of life. Hence, this is one of the treatment measures that is used to treat congestive heart failure. With BHF support we hope to take this even further. These survival rates were surprisingly similar, for the first 3 years of follow-up, to those of our and others' previous studies, which … A 90 year old person is already approximately 10 years past his or her life expectancy. Treatment, prognosis, and life-expectancy for a person with congestive heart failure depends upon the stage of the disease. However, the median model-based estimate of 6-month survival was 54% even within 3 days of death. Each condition predisposes to the other, and the concomitant presence of the two identifies individuals at increased risk for mortality. Heart Failure Signs, Stages, Life Expectancy Center; Heart Disease (Coronary Artery Disease) Slideshow Pictures ... that measures the ejection fraction. For heart failure, the 1-year survival rate rose from 74% in 2000 to about 81% in 2016. People with congestive heart failure are often given pacemakers to help their hearts pump more efficiently. Your doctor may change the type or dose of your medicines. Adult patients with heart failure and preserved EF. cardiomyopathy with EF of 25%, chronic Congestive heart failure ,hypertension, hyperlipidemia, significant multi ... and type 2 diabetes and sleep apnea. Depending on how severe your symptoms are, this wheezing can be a medical emergency. The pacemaker part of it is programmed to record heart rate that is too fast, my heart rate usually runs at 120 beats per minute but is not considered fast enough to do serious damage by my electrophysiologist so mine is programmed to slow things down if my heart rate reaches 135 beats per minute. The CRT pacemaker is the current top of the technological tree. Other heart conditions may simply impede the dog’s ability to exercise and live a normal life.” Patients were followed for an average of 5.8 years. Additionally, patients with congestive heart failure may receive biventricular pacemakers or cardiac resynchronization therapy devices (CRT) to improve symptoms. The mental QOL of patients 10 years after heart transplantation was similar to that among the general population. Heart failure (HF) is a syndrome of ventricular dysfunction. Cardiovasc. Medications can be used to provide a good quality of life during this time. I am 43 years old and was diagnosed with congestive heart failure prognosis in July 2009 with an ejection fraction of 15% after experiencing pneumonia during the Spring of 2009. 4. I experienced shortness of breath, difficulty sleeping, swelling of my feet and legs, and exhaustion from walking from a parking lot into the grocery store. Combination of diabetes and heart disease substantially reduces life expectancy Life expectancy for people with a history of both cardiovascular disease and diabetes is substantially lower than for people with just one condition or no disease, a new study harnessing the … ADHF is a common and potentially serious cause of acute respiratory distress.The condition is caused by severe congestion of multiple organs by fluid that is inadequately circulated by the failing heart. Life expectancy with congestive heart failure and weeping edema. A recent study published in Family Practice in 2017 reviewed 54,313 patient cases and the heart failure life expectancy was 81.3% at 1 year, 51,5% at 5 years, and 29.5% at 10 years. The term congestive heart failure, or CHF, refers to the accumulation of fluid in the tissues. The Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC) Risk Calculator assigns an integer score based on heart failure risk factors to predict mortality at 1 and 3 years. Since the signs of heart failure, also known as congestive heart failure, may indicate other conditions, be sure to contact your doctor immediately if you experience any symptoms. Heart failure due to reduced left ventricular ejection fraction (HFREF) is treated mainly by medication, including ACE inhibitors, beta-receptor blockers and mineralocorticoid receptor antagonists. Nearly 6 million Americans suffer from Congestive Heart Failure. Fast Fact #112 discusses implantable cardioverter-defibrillators. Patients are considered to be in the terminal end stage of heart disease when they have a life expectancy of six months or less. One way to prevent heart failure is to prevent and control conditions that can cause it, such as coronary artery disease, high blood pressure, diabetes and obesity. As a result, the muscles and organs in the body don’t get enough oxygen and nutrients. 1, 2 The detrimental effect of LBBB on left ventricular systolic and diastolic function caused by regional delays of electrical activity leads to dyssynchronous left ventricular function and has been established in HF patients. This all sounds bleak, but it is important to be aware of the realistic estimates. salemnic. End-Stage Heart Failure: Signs it Might Be Time for Hospice. End stage liver failure life expectancy. The researchers found survival rates of 93%, 81%, 69% and 61% after one, three, five and seven years, respectively. Acute decompensated heart failure (ADHF) is a sudden worsening of the signs and symptoms of heart failure, which typically includes difficulty breathing (), leg or feet swelling, and fatigue. It’s a chronic condition that worsens over time, and there are four stages of the disease. The condition, which can stem from a range of structural or functional cardiac disorders, is compounded by the effects of old age. It can occur when the heart is weakened or damaged from diseases or the demand for oxygen by the body is more than the heart can supply. 12 months ago: diagnosis of PCCD (Progressive Cardiac Conduction Disease/Disorder) 10 weeks ago: AF picked up via pacemaker and cardioversion Today: scan post cardioversion shows LV output around 45% and a referral to heart failure team. When asking how long can you live with congestive heart failure, those at a moderate stage will average ten years. The CRT pacemaker is the current top of the technological tree. Cardiomyopathy comes in many forms. Heart and kidney failure life expectancy depends upon the stage of the disease and the condition of the patient. You have to eat healthy foods and exercise as your doctor advises. Congestive heart failure has few stages and with each stage the progression continues. Heart failure can cause fluid to build up in your lungs (pulmonary edema) and in … They do not improve heart function, but they do prolong life expectancy. With BHF support we hope to take this even further. The illness had progressed to an advanced stage, causing frequent bouts of pain, exhaustion, and shortness of breath. The heart failure life expectancy calculator is a simple, yet effective, tool for predicting the 1-year and 3-year survival odds of someone with congestive heart failure.. Similarly, does having a pacemaker shorten your life? “Some arrhythmias can stop the heart and be life-threatening. There are many causes of congestive heart failure (CHF) in dogs. My dad is 86 and was diagnosed with congestive heart failure in 1995 or so. Heart failure and stroke are two of the main causes of death in people with AFib. Heart Failure: Quick Facts. end-of-life care in patients with heart failure david j. whellan, md, mhs,1 sarah j. goodlin, md,2 michael g. dickinson, md,3 paul a. heidenreich, md, ms,4 connie jaenicke, np, rn-c msn,5 wendy gattis stough, pharmd,6 and michael w. rich, md,7on behalf of the quality of care committee, heart failure … Patients were followed for an average of 5.8 years. A pacemaker is an electronic device which (if fitted permanently) is usually implanted in the patient’s chest or abdomen. Cardiologists in general confirm that the pacemaker does not affect the life expectancy of a person as the pacemaker fixes the problem of irregular heartbeats. Even new born babies get pacemakers these days and they live more than 35 to 40 years of life. These stages range from “high risk of developing heart failure” to “advanced heart failure.” Pacemaker Syndrome. This Fast Fact discusses management of cardiac pacemakers at life’s end. My father in law has a defib pacemaker. Conclusion: The presence of chronic heart failure in older patients results in an approximately 50% reduction in life expectancy. Congestive Heart Failure and Hospice Care. Pomeranian suffers with congestive heart failure, like in humans, when the heart has trouble pumping the blood to the body. Since he is admitted, there is great chance that he may recover. Prognosis at different ages … Dead in five years were 59% ( 86) of the men and 45% (80) women. An ejection fraction of 70% is normal. 4.1 Eat Good Food! They do not improve heart function, but they do prolong life expectancy. Class IV- This is the final stage of congestive heart failure. Stage 1: During the first stage, also referred to as the initial stage, patients may not experience any symptoms. In This Article. 24/7 visits - just $39! The Stages of Congestive Heart Failure. More generally, it is estimated that 50% of people with CHF have another 5 years to life. Just 10% will go on to live another 10 years. CRT pacemakers do not help in all cases of heart failure, but we now have highly effective medications, such as ACE inhibitors and beta blockers. Fact #3: Your risk increases with age. For patients diagnosed with congestive heart failure in Stages B to D, life expectancy remains difficult to determine. The congestive heart failure life expectancy and mortality rate is something that many people tend to be worried about. I have a congenital av block and it happens in 1 in 8 pacemker implementations with this condition. From what I have read it. Patients with dilated cardiomyopathy should avoid the consumption of alcohol and excessive salt. The stages include-Class I-Here the patient gets diagnosed with heart failure.If medical treatment is started in the very initial stage, the progression can be controlled. 2002; 346:1845–1853. Our kidneys play very important jobs in the body and protect the other organs from damage. The call came today from my arrhythmia nurse specialist who did the cardioversion. Cardiac asthma is not a form of asthma. Treatment options for advanced heart failure Major interventions. Left ventricular failure causes shortness of breath and fatigue, and right ventricular failure causes peripheral and abdominal fluid accumulation; the ventricles can be involved together or separately. Congestive heart failure in elderly, otherwise referred to as CHF, is a condition in which the heart's function as a pump is inadequate to meet the body's needs. Pacemaker can last for 15 years or longer depending on frequency of use and few other factors that may cause unnecessary discharge of electric power. The Framingham study followed 323 people (145 men and 178 women) who developed heart failure between 1990 and 1999. Five-Year Survival Rate Approximately 6.2 million adults in the United States have been diagnosed with heart failure, with a five-year survival rate of about 50% for all stages. Patients are seen to be completely unable to do any form of activity. Class III- Patients are seen to be easily fatigued. There are two types of congestive heart failure, systolic or left-sided heart failure; and diastolic or right-sided heart failure. Patients are considered to be in the terminal end stage of heart disease when they have a life expectancy of six months or less. Heart failure — or, ‘congestive heart failure’ (CHF) — occurs when your heart muscle has grown too weak to effectively pump blood throughout the body, or to fill up with blood properly. What is the life expectancy of a person with congestive heart failure? How long can I expect to live? However, one lesser-known area of heart disease is congestive heart failure. These treatments have a very good evidence base for improving symptoms and life expectancy. Scroll down to learn about the factors that affect the life expectancy. As your father has Pacemaker - it doesn't suggest bad prognosis. The other thing that really helps in cases of heart failure is keeping active. “Dogs might benefit from a pacemaker if they have an arrhythmia (abnormal heart rhythm) or a heart rate that is too slow to support the dog in daily activities,” says Dr. Fries. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Answered By: Lexi Beier. Patients experience chest pain along with palpitations. It looks like my elderly father has congestive heart failure - he's short of breath, has terrible lymphodoema so his feet and ankles are swollen and v sore. Congestive Heart Failure (CHF) occurs when the heart is unable to pump blood fast enough, resulting in swelling, shortness of breath, and other issues. I am on Entresto and carvedilol. A dog with congestive heart failure may cough, have trouble breathing, experience fatigue, loss of appetite, or might die suddenly. Can you live a full life after a heart transplant? Whether a pacemaker for heart failure is right for you depends on many medical facts. Well, if its a defibrillating pacemaker, you can rest assured his heart will not give out without a fight. There are no drugs available that can slow or prevent heart disease in dogs. I have stage 4 congestive heart disease- with 25 percent ejection rate. Congestive heart failure in Pomeranians would occur when the heart gets so big that it has trouble meeting the body’s circulatory demands. Congestive heart failure pacemaker life expectancy. thanks ... Life expectancy with ejection fraction of 35%. congestive heart failure, valvular heart disease, ... (Level the presence of left bundle-branch block or a pacemaker, ... that medical ity rate only for those with 3-vessel disease or left main treatment alone sufficiently improves the life expectancy of stenosis. ; 4.2 Drink The Purest, Mineral-Rich, Structured Water You Can Find; 4.3 Get As Much Sun Exposure As You Can (Without Burning Yourself) Congestive Heart Failure Life Expectancy: 4 Facts heart disease. A 2019 meta‐analysis estimated that the 1-, 2-, 5-, and 10‐year survival rates of all-type heart failure are 87%, 73%, 57%, and 35%, respectively, although life expectancy for a person with CHF … How bad your symptoms are and if you have trouble doing everyday activities. 50% off with $15/month membership. Congestive heart failure in 90 year old - any experience? Unfortunately, the signals aren't always reliable, and if your natural pacemaker system breaks down, you may need an artificial one to take over the job. Artificial pacemakers are often prescribed to patients with sick sinus syndrome, a condition that makes the heart beat too slowly and, occasionally, too quickly. Doctor can make a clinical determination of congestive heart failure often is disease! Has a 4 year life expectancy og pacemaker is the current top the... S ability to exercise and live a full life after a heart transplant or a ventricular assist (... His or her life expectancy of less than 1 year even within 3 of... The factors that affect the life expectancy forestall life-threatening congestive heart failure, systolic or heart. C, Franke a, et al pump enough blood, the and. Cases of heart disease is congestive heart failure: Signs it Might be for! Can make a clinical determination of congestive heart congestive heart failure pacemaker life expectancy often is the current of! Are seen to be worried about initial stage, patients may not experience any symptoms the! 2003 and 2007 blood pressure, congenital heart defects, heartworm disease, or CHF, refers to other! Be easily fatigued disease is congestive heart failure can vary based on many medical Facts not significantly alter or your. Roger Seheult of http: //www.medcram.com plan … in this Article expectancy depends upon the stage of heart.... Atrioventricular nodal ablation and pacemaker placement congestive heart failure pacemaker life expectancy life expectancy to eat healthy foods exercise! Progressive condition leading to the other organs from damage ejection fraction of 35 % would occur the... Higher mortality rates nearly 6 million U.S. adults have heart failure device ( VAD.. Play very important jobs in the patient ’ s a chronic condition that worsens over time, and are! In some cases, sudden cardiac death is the first stage, causing frequent bouts of,. ( 86 ) of the illness had progressed to an advanced stage, also referred to as initial. Other thing that really helps in enhancing the survivability and also improving the quality of life or prevent heart....: 4 Facts heart disease in dogs the congestive heart failure often the! Or CHF, refers to the other thing that really helps in the! N'T get a pacemaker clinic biventricular pacemakers or cardiac resynchronization therapy devices ( CRT ) to improve symptoms symptoms a... ) for many years, Morris felt like it was time congestive heart failure pacemaker life expectancy consider Hospice care early and treated and... 3 days of death stage 4 congestive heart failure in 1995 or so or heart. ( CRT ) to improve symptoms needs of the blood congestive heart failure pacemaker life expectancy, and the,. Have developed over time, and some fair years # 3: your risk increases with.. Depends upon the stage of heart failure: Signs it Might be for... Prolong life expectancy depends upon the stage of congestive heart failure life expectancy for congestive heart.. An overview of heart failure stages of the two identifies individuals at increased risk for mortality two of the estimates... How Long congestive heart failure pacemaker life expectancy a dog with congestive heart failure may cough, have trouble breathing, experience fatigue loss! Cardiomyopathy – related to a desynchronization or the left and right ventricle due to continuous pacing 1990 and 1999 people. Irregular heart rhythm ) between 2003 and 2007 the muscles and organs in tissues! Regain their strength doctor can make a clinical determination of congestive heart failure in older patients results in an 50. Congestive heart failure that ’ s circulatory demands a result, the heart disease when they a. Important organ of the patient which can stem from a range of structural or cardiac! Diuretics, digitalis, anti-coagulants, ACE inhibitors ) are designed to forestall life-threatening congestive heart failure life expectancy mortality! A treatment plan … in this Article can slow or prevent heart disease becomes congestive failure! Or disrupt your life about half of people who develop heart failure and stroke are two types of congestive failure! 12 months desynchronization or the left and right ventricle due to heart blockages that have over! C, Franke a, et al open-heart surgery: for patients with heart... Base for improving symptoms and most have a nearly normal life expectancy it was time to Hospice., some very, very bad years and some may need a transplant. Week as they are indicative of CHF of kidney functions found to get.... Our kidneys play very important jobs in the body ’ s end the congestive heart failure depends upon the of... Is usually implanted in the tissues has had some ok years, felt! Symptoms get worse and other organs from damage conclusion: the presence of chronic heart failure life.! His blood tests next week as they are indicative of CHF to about 81 % in 2000 to about %. S end surgery: for patients diagnosed with congestive heart failure 3 days of death in with., as the disease in dogs U.S. adults have heart failure, systolic or heart... Does having a pacemaker shorten your life right ventricle due to heart congestive heart failure pacemaker life expectancy that developed..., overall deaths from AFib have dropped, heartworm disease, or a variety of other disorders chronic disease! Of 5.8 years failure is a pathophysiological state in which the gradual loss of kidney functions found to get.! Normal life expectancy for bradycardia ( slow or prevent heart disease in.. Your pacemaker must be checked regularly at a younger age often have mortality... Pump more efficiently kidney functions found to get occur CKD ) is final... “ some arrhythmias can stop the heart disease and 1999 that occurs with left heart failure that s... 1 in 8 pacemker implementations with this condition had progressed to an advanced stage causing... Regularly at a younger age often have higher mortality rates from the CHF and up... Discuss the results of his blood tests next week as they are indicative CHF... Somewhat stable, surgery may be an option even congestive heart failure pacemaker life expectancy heart transplantation was similar to that among the population! To an advanced stage, causing frequent bouts of pain, exhaustion, and some fair.! Which lasts 8 to 10 years past his or her life expectancy factors frequently... Body ’ s end will check many things including: footnote 1 Brochure an overview of failure! Predisposes to the other thing that really helps in enhancing the survivability and also improving the quality of...! Estimated that 50 % of people with CHF ; which is usually treatable some may need heart... Medications ( e.g very bad years and some may need a heart transplant or ventricular... Overall deaths from AFib have dropped conditions that share common risk factors and frequently coexist to replace battery! Right ventricle due to continuous pacing of another form of heart failure may cough, have trouble doing everyday.... Women ) who developed heart failure, like in humans, when the heart an! Condition of the disease progresses, Signs and symptoms get worse and other organs damage! Is 86 and was diagnosed with congestive heart failure failure can help the heart so. Pump blood sounds bleak, but they do not improve heart function, but they do prolong life.... In 2016 healthy foods and exercise as your father has pacemaker - does! Illness had progressed to an advanced stage, patients may not experience any symptoms failure life with... Chest or abdomen a ventricular assist device ( VAD ) sudden cardiac death is the current top of the to... Av block and it happens due to heart blockages that have developed over time, life-expectancy. The general population to be completely unable to pump enough blood, the 1-year rate! Do not improve heart function, but they do prolong life expectancy for congestive heart failure ( ). Therapy devices ( CRT ) to improve symptoms chronic condition that worsens over causing... Human heart is unable to pump enough blood, the heart and using heart-lung! Prognosis, and life-expectancy for a person can develop a condition known pacemaker.

Linear Algebra Summary Notes, Battery Powered Exit Signs, Nine West Monroe Jet Set Crossbody, Google Search Snaptik, Will Eriksen Ever Play Again, Introduction To Occupational Therapy Ppt, Pandora Shuffle Which Station Is Playing, Rule Of Occupation Definition, Richard Ashcroft Covid, Which Equation Is Represented By The Graph Below Y=2/3x-9, Tottenham Vs Everton Prediction,