diff --git a/draft-ietf-quic-qpack.md b/draft-ietf-quic-qpack.md
index 53210d4081..191405c7b1 100644
--- a/draft-ietf-quic-qpack.md
+++ b/draft-ietf-quic-qpack.md
@@ -489,9 +489,18 @@ After processing a set of instructions on the encoder stream, the decoder will
 emit a Table State Synchronize instruction on the decoder stream.  The
 instruction begins with the '1' one-bit pattern. The instruction specifies the
 total number of dynamic table inserts and duplications since the last Table
-State Synchronize, encoded as a 7-bit prefix integer.  The encoder uses this
-value to determine which table entries are vulnerable to head-of-line blocking.
-A decoder MAY coalesce multiple synchronization updates into a single update.
+State Synchronize or Header Acknowledgement that increased the largest
+acknolwedged dynamic table entry.  This is encoded as a 7-bit prefix integer.
+The encoder uses this value to determine which table entries are vulnerable to
+head-of-line blocking.
+
+A decoder MAY coalesce multiple synchronization updates into a single update.  A
+decoder MAY rely on Header Acknowledgement instructions to indirectly
+acknowledge changes to the dynamic table.  Relying on Header Acknowledgment
+instructions exclusively leads to poor compression efficiency if the encoder
+waits for an entry to be acknowledged before using it.  This happens if the
+encoder wants to avoid the risk of blocking at the decoder, or the encoder has
+already reached the decoder's limit for blocked streams.
 
 ~~~~~~~~~~ drawing
   0   1   2   3   4   5   6   7
@@ -499,7 +508,7 @@ A decoder MAY coalesce multiple synchronization updates into a single update.
 | 1 |     Insert Count (7+)     |
 +---+---------------------------+
 ~~~~~~~~~~
-{:#fig-size-sync title="Table Size Synchronize"}
+{:#fig-size-sync title="Table State Synchronize"}
 
 ### Header Acknowledgement
 
@@ -523,6 +532,16 @@ blocks within a stream have been fully processed.
 ~~~~~~~~~~
 {:#fig-header-ack title="Header Acknowledgement"}
 
+An encoder MUST treat receipt of a Header Acknowledgment as also acknowledging
+any dynamic table entries that the header block referenced.  That is, this
+instruction is also processed as a Table State Synchronize instruction with a
+value matching the Largest Reference of the corresponding header block.
+
+A decoder MUST track increases to the largest acknowledged dynamic table entry
+caused by acknowledging a header block so that it can correctly generate the
+Table State Synchronize instruction.
+
+
 ## Request and Push Streams
 
 HEADERS and PUSH_PROMISE frames on request and push streams reference the