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Letters
March 14, 2007

Classifying Systolic and Diastolic Heart Failure

JAMA. 2007;297(10):1058-1059. doi:10.1001/jama.297.10.1058-b

To the Editor: The study of systolic and diastolic heart failure (HF) in the community by Dr Bursi and colleagues1 presents information about the prevalence and prognosis of HF with reduced or preserved left ventricular ejection fraction (EF). However, the authors use the term “diastolic HF” when referring to HF with preserved EF and present HF with preserved and reduced EF as “counterparts.” Assigning patients with reduced EF to systolic HF, and those with preserved EF to diastolic HF, overlooks the presence of diastolic dysfunction in patients with reduced EF.

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