We read with interest the consensus statement on the universal definition and classification
of heart failure, by Bozkurt et al.
1
in the April 2021 issue of the Journal. However, we were surprised that an important physical examination finding of cardiac
failure which is of prognostic significance, the pulsus alternans (PA), was not included
in Table 6 (Symptoms and Signs of Heart Failure).
- Bozkurt B
- Coats AJ
- Tsutsui H
- Abdelhamid M
- Adamopoulos S
- Albert N
- et al.
Universal definition and classification of heart failure: a report of the Heart Failure
Society of America, Heart Failure Association of the European Society of Cardiology,
Japanese Heart Failure Society and Writing Committee of the Universal Definition of
Heart Failure.
J Card Fail. 2021; 27: 387-413.
1
- Bozkurt B
- Coats AJ
- Tsutsui H
- Abdelhamid M
- Adamopoulos S
- Albert N
- et al.
Universal definition and classification of heart failure: a report of the Heart Failure
Society of America, Heart Failure Association of the European Society of Cardiology,
Japanese Heart Failure Society and Writing Committee of the Universal Definition of
Heart Failure.
J Card Fail. 2021; 27: 387-413.
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References
- Universal definition and classification of heart failure: a report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure.J Card Fail. 2021; 27: 387-413.
- The clinical recognition of pulsus alternans.JAMA. 1926; 87: 463-464
- Mechanical alternans in patients with chronic heart failure.J Card Fail. 2001; 7: 138-145
- Changes in the occurrence of mechanical alternans after long-term beta-blocker therapy in patients with chronic heart failure.Jpn Circ J. 2001; 65: 711-716
- Mechanical alternans is associated with mortality in acute hospitalized heart failure: prospective mechanical alternans study (MAS).Circ Arrhythm Electrophysiol. 2014; 7: 259-266
Article info
Publication history
Published online: July 26, 2021
Accepted:
June 28,
2021
Received in revised form:
June 27,
2021
Received:
April 29,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
