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Classifying Systolic and Diastolic Heart Failure—Reply
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In Reply: We agree with Dr Florea about the challenge of classifying heart failure (HF) and believe that it is urgent to standardize the approaches to this classification.1 However, the distinction between HF with preserved EF vs reduced EF is recognized by the American Heart Association /American College of Cardiology professional guidelines.2 While relying on this categorization, we did not interchangeably use the terms "HF with preserved EF" and "diastolic HF." To the contrary, we carefully described the distribution of diastolic function abnormalities in both categories of HF, reduced and preserved EF, among patients in the community.
Among participants with HF and preserved EF, we demonstrated that the prevalence of moderate or severe diastolic dysfunction was high and was greater than that observed among normal persons.3 Our data support the role of diastolic dysfunction in HF with preserved EF. However, we also report the prevalence of diastolic dysfunction among patients with . . . [Full Text of this Article]
Véronique L. Roger, MD, MPH
roger.veronique@mayo.edu
Mayo Clinic College of Medicine
Rochester, Minn
Francesca Bursi, MD, MSC
Policlinico University Hospital of Modena
University of Modena and Reggio Emilia
Emilia-Romagna, Italy
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RELATED LETTER
Classifying Systolic and Diastolic Heart Failure
Viorel G. Florea
JAMA. 2007;297(10):1058-1059.
EXTRACT
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Systolic and Diastolic Heart Failure in the Community
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JAMA. 2006;296(18):2209-2216.
ABSTRACT
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