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Expanding the Definition of Worsening Heart Failure and Recognizing the . . . most patients with heart failure (HF), their clinical course is characterized by periods of stability that are interrupted by episodes of worsening signs and symptoms 1,2 These episodes of worsening HF (WHF) have traditionally been recognized as clinically relevant when they required hospitalization and were considered a concerning inflection point in the natural history of dis-ease 3,4 Over