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.
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.