The global prevalence of chronic haemodialysis (HD) is 298.4/pmp. Cardiovascular disease and malnutrition are common comorbidities and known risk factors for mortality in HD patients. In our study, we aimed to evaluate the one-year mortality rate after dialysis induction in patients with chronic kidney disease (CKD) and heart failure (HF). This was a retrospective analysis of patients with CKD and HF who initiated chronic HD between January/2016 and December/2019 in a tertiary-care Portuguese hospital. Variables were submitted to univariate and multivariate analysis to determine factors predictive of one-mortality after HD start. 204 patients were analysed (mean age 75.1±10.3 years, 60.3% male, 92.6% caucasian). Hypertension (88.7%), diabetes mellitus (58.8%) and ischemic cardiomyopathy (44.6%) were common comorbidities. At dialysis start, mean hemoglobin was 9.7±1.6g/dL, mean serum urea 192.2±61.5mg/dL, mean serum creatinine 5.6±1.9mg/dL, mean eGFR 9.5±4.1mL/min/1.73m2, mean albumin 3.3±0.6g/dL, mean PTH 254.0±179.2pg/mL, mean ferritin 482.8±652.2μg/L and mean CRP 5.1±6.5mg/dL. One hundred and seven patients had hypoalbuminemia. Within the first year of HD start 28.7% of patients died. These patients were significantly older [79.8±7.2 vs 72.9±10.9 years, p<0.001; OR 1.08(1.04-1.13), p<0.001] and had higher mean Charlson Index [9.0±1.8 vs 8.3±2.0, p=0.015; OR 1.22(1.04-1.44), p=0.017], lower serum creatinine [5.1±1.6mg/dL vs5.8±2.0mg/dL; p=0.021; OR 0.80(0.65-0.97), p=0.022], lower albumin levels [3.1±0.6g/dL vs 3.4±0.6g/dL, p<0.001; OR 0.38(0.22-0.66), p=0.001] and started HD with a central venous catheter more frequently [80.4% vs 66.2%, p=0.050]. Multivariate analysis identified older age [aOR 1.07(1.03-1.12), p=0.002], lower serum creatinine [aOR 0.80(0.64-0.99), p=0.049] and lower serum albumin [aOR 0.41(0.22-0.75), p=0.004] as predictors of one year mortality. In our cohort, older age, lower serum creatinine and lower serum albumin were independent risk factors for one-year mortality, highlighting the prognostic importance of malnutrition in patients starting chronic HD.