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European Journal of Heart Failure 2003 5(2):117-119; doi:10.1016/S1388-9842(02)00239-8
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© 2002 European Society of Cardiology

It cannot be cardiac failure because the heart is not enlarged on the chest X-ray

Mark C. Petrie*

Department of Cardiology Western Infirmary of Glasgow Glasgow, Scotland, UK

* Corresponding author. CRI in Heart Failure, Wolfson Building, University of Glasgow, Glasgow G12 8QQ, UK. Tel./fax: +44-141-330-6588 E-mail address: j.mcmurray@bio.gla.ac.uk

Received February 11, 2002; Revised September 2, 2002; Accepted September 13, 2002

The first 10% of the full text of this article appears below.

A common maxim, often repeated on ward rounds and in outpatient clinics, is that a patient cannot have cardiac failure if the heart size is normal on the chest X-ray [1]. As the list of evidence-based, life-saving, treatments for patients with heart failure due to left ventricular systolic dysfunction grows ever longer it is time to lay this fallacy to rest.

There is now a wealth of data to show that patients of the sort that were randomised into the landmark clinical trials, with a significant reduction in left ventricular systolic function, can have a normal heart . . . [Full Text of this Article]


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