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ing to trainees independent of their anticipated risk of exposure. Admission systolic blood pressure has emerged as a predictor of postdischarge outcomes of patients with acute decompensated heart failure; however, its validity in varied clinical conditions of this patient subset is unclear. The aim of this study was to further explore the prognostic value of admission systolic blood pressure in patients with acute decompensated heart failure. The Kyoto Congestive Heart Failure (KCHF) registry is a prospective, observational, multicenter