Systolic blood pressure (SBP) decreases in patients with acute HF and normal to high SBP at admission are associated with worse shortand long-term outcomes, according to results published in Circulation: Heart Failure. Among 11,226 participants, 2,559 (23%) experienced an SBP drop. SBP drop versus no SBP drop was associated with poorer outcomes, including cumulative incidence of 180-day mortality (11% vs 9%) and a short-term composite outcome of worsening HF, hospital readmission for HF, or all-cause mortality through 14 days (11% vs 10%).