title: Reply to letter to the editor by Shiraishi and colleagues.
authors.affiliation: Vanderbilt University, Department of Emergency Medicine, Nashville, TN. Electronic address: Sean.collins@vanderbilt.edu.
authors.forename: Sean
authors.initials: S
authors.lastname: Collins
authors.forename: Philip
authors.initials: P
authors.lastname: Levy
authors.forename: Peter
authors.initials: P
authors.lastname: Pang
authors.forename: Mihai
authors.initials: M
authors.lastname: Gheorghiade
mesh_terms: D002986:Clinical Trials as Topic; D019468:Disease Management; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006333:Heart Failure / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D018579:Patient Selection