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The possibility of heart failure in patients with “Pneumonia” -Author's reply

      H. Ito provided a letter to the editor discussing our recently published study on electrolyte disorders in patients presenting to the emergency department with community-acquired pneumonia (CAP) [
      • Ravioli S.
      • Gygli R.
      • Funk G.C.
      • Exadaktylos A.
      • Lindner G.
      Prevalence and impact on outcome of sodium and potassium disorders in patients with community-acquired pneumonia: A retrospective analysis.
      ]. Above all, H. Ito misses the discussion of heart failure as a differential diagnosis for pneumonia and criticizes a possible confounding of the association of hyponatremia with CAP in our study [
      • Ito H.
      The possibility of heart failure in patients with “pneumonia”.
      ]. The impact of heart failure especially on hyponatremia is very important indeed and the clinical similarities of pneumonia and heart failure are evident.

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      References

        • Ravioli S.
        • Gygli R.
        • Funk G.C.
        • Exadaktylos A.
        • Lindner G.
        Prevalence and impact on outcome of sodium and potassium disorders in patients with community-acquired pneumonia: A retrospective analysis.
        Eur J Intern Med. 2021; 85: 63-67
        • Ito H.
        The possibility of heart failure in patients with “pneumonia”.
        Eur J Intern Med. 2021; https://doi.org/10.1016/j.ejim.2021.05.012