In Reply We appreciate the comments from Cao concerning our article.1 We originally used a left ventricular ejection fraction cut point of 45% or greater. As pointed out by Cao, current guidelines use 50% or greater.2,3 Reanalyzing our data using a left ventricular ejection fraction of 50% or greater, we found 220 fewer patients (decreasing from 2587 of 10 023 [25.8%] to 2367 [23.6%]) classified with pulmonary hypertension (PH) in the setting of heart failure with preserved ejection fraction (PH-HFpEF). Based on this very minimal change, there were no significant changes in any of our results. For the sake of clarity, we report here some of the minor changes.