Motiwala SR, et al. – Researchers presumed that heart failure (HF) patients may experience orthopnea more often than is currently elicited by physicians, and that orthopnea itself may decrease quality of life (QOL). Findings of this study revealed that patients with chronic HF commonly self–reported orthopnea on a focused questionnaire. Orthopnea was related to worse QOL even in the absence of limitations to activities of daily living (ADLs), but its presence was underestimated by physicians. Inquiry about orthopnea at each clinic visit was recommended, regardless of activity tolerance.