Classic Symptoms
<p>PND presence increases likelyhood of HF > 2 fold
S3 presence, 11 times likeyhood
 
50% reduced likelyhood </p>
<ol>
<li>absence of DOE</li>
<li>absence of crackles on exam</li>
</ol>
<p> 
Elevated jugular venous pressure and an S3 are independently associated with adverse outcomes, including progression of heart failure.</p>