Letters Heart failure

Heart failure is in need of a diagnosis

BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b961 (Published 09 March 2009) Cite this as: BMJ 2009;338:b961
  1. Guy Lloyd, consultant cardiologist1
  1. 1East Sussex NHS Trust, Eastbourne District General Hospital, Eastbourne, East Sussex BN21 2UD
  1. guy.lloyd{at}btinternet.com

    How attractive to have a syndrome where the clinical findings are “right” and the tests are “wrong.” In heart failure with normal ejection fraction (HEFNEF), the presentation is consistent with heart failure but echocardiography does not fully agree. Sanderson and Yip advance that this results from predictable pathology with a well understood prognosis.1

    But the loss of rotational and longitudinal architecture occurs …

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