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The neglected role of blood pressure in acute heart failure syndrome
  1. Sripurna Basu
  1. Correspondence to Dr Sripurna Basu, Junior Doctor, Basildon and Thurrock University Hospitals, NHS Foundation Trust, Nethermayne, Basildon, Essex SS16 5NL, UK; sbasus{at}

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To the Editor I read with interest Harinstein et al's review of clinical assessment in acute heart failure syndromes (AHFS).1 Initial assessment of AHFS included evaluation of important prognostic factors that influence treatment such as the presence of atrial fibrillation, acute pulmonary oedema and renal function. This is in accordance with the six-axis model described by Professor Gheorghiade. An important factor in the six-axis model, which has been neglected, is the role of blood pressure in the presentation and evaluation of AHFS. Blood pressure plays a critical role in the prognosis of acute heart failure and should be a central consideration …

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  • Competing interests None.

  • Provenance and peer review Commissioned; internally peer reviewed.

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  • PostScript
    Matthew E Harinstein James D Flaherty Andrew P Ambrosy Gregg C Fonarow Robert O Bonow Mihai Gheorghiade