Well, I would go for the 100% literal translation, not being a medic, so wouldn't want to offer any other possibility at the risk of over-interpretation

Management of Advanced Heart Failure
circ.ahajournals.org/content/123/14/1569.full
by MM Kittleson - 2011 - Cited by 1 - Related articles
He presented with decompensated heart failure 2 years earlier. At that .... Patients with severe angina in the absence of heart failure are often not considered for ...

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Note added at 1 hr (2012-08-01 12:59:42 GMT)
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http://www.clpmag.com/issues/articles/2006-03_02.asp
Januzzi believes this broadens the prognostic value of NT-proBNP to predict death in a wide variety of clinical states, including ACS and pulmonary embolism (a circumstance when a clot travels to the lungs, which may also lead to acute right-sided heart failure), as well as critical illnesses, like gram-negative sepsis. The recommendation included in the study findings—published in February’s Archives of Internal Medicine—is that an NT-proBNP should be measured in every patient presenting with dyspnea.2
“If someone is sick enough to lead to heart dysfunction, the level of natriuretic peptide is going to be reflected in their risk for mortality,” Januzzi adds. “It tells physicians not only where the patient is right now, ****with respect to the presence or absence of heart failure****, but it also gives clinicians a window into the future likelihood of death as well, even in those without acute CHF.”

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