klɪnˈɪʃənz bɪɡˈæn ɐplˈaɪɪŋ ɪt tʊ ˌɛni ˈɪnfənt wɪð ɐ dˈaɪleɪɾᵻd, fˈeɪlɪŋ hˈɑːɹt, ɪn spˈaɪt ʌvðə fˈækt ðætðɪ ˈoʊnli wˈeɪ tə dᵻfˈɪnɪtˌɪvli ɪstˈæblɪʃ ðə pɹˈɛzəns ʌv ˌiːˌɛfˈiː wʌz tə sˈiː ɪɾ æɾ ˈɔːtɑːpsi.
Clinicians began applying it to any infant with a dilated, failing heart, in spite of the fact that the only way to definitively establish the presence of EFE was to see it at autopsy.