Nakagawa A, Yasumura Y, Yoshida C, et al. - This study sought to verify the pathophysiological differences between patients categorized with admission systolic blood pressure (SBP) among heart failure with preserved ejection fraction (HFpEF) patients. A multicentre prospective observational was conducted to examine a total of 1,008 inpatients from PURSUIT-HFpEF. They categorized individuals as having elevated (>140 mmHg), preserved (90–140 mmHg), or low (< 90 mmHg) admission SBP. Most cases had elevated (n = 584) or preserved (n = 420) SBP; they excluded four cases with low SBP. It was shown that individuals with preserved admission SBP had significantly higher risks for adverse outcomes than those with increased SBP in HFpEF. The results showed that tricuspid annular plane systolic excursion/pulmonary artery systolic pressure was the distinctive prognostic factor between the two groups.