Coronary Heart Failure and Left Ventricular Diastolic Dysfunction
- Jalal K. Ghali, MD
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TO THE EDITOR:
In their comprehensive review of left ventricular diastolic dysfunction as a cause of heart failure, Bonow and Udelson [1] did not mention clinical features that would enable clinicians to recognize this condition at the bedside. In a recent study of 82 patients admitted for decompensated heart failure [2], we found that the combination of a diastolic blood pressure of 105 mm Hg or more and the absence of jugular venous distention had a specificity and positive predictive value approaching 100%. Recognizing these points should improve the clinician's ability to identify diastolic heart failure at the bedside.
Jalal K. Ghali
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
Include no more than 300 words of text, three authors, and five references
Type with double-spacing
Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
- Copyright 2004 by the American College of Physicians
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