Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: In their cohort study of outcomes in patients hospitalized with acute heart failure, Dr Gheorghiade and colleagues1 showed that lower systolic blood pressure (SBP) at admission predicts worse outcomes in patients with both reduced and preserved systolic function. In their discussion, they suggested that SBP may indicate different stages or pathophysiology of heart failure, which accounts for higher mortality in patients with lower SBP.
Kim DH, Kang H. Systolic Blood Pressure and Outcomes in Patients Hospitalized With Acute Heart Failure. JAMA. 2007;297(8):807-809. doi:10.1001/jama.297.8.807-b