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March 14, 2007

Classifying Systolic and Diastolic Heart Failure—Reply

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;297(10):1058-1059. doi:10.1001/jama.297.10.1059-a

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.

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