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well welcome to another MedCram lecture were going to talk about heart failure today now sometimes this can be a little confusing because theres a lot of different definitions this was known as congestive heart failure and theres been some new definitions that have been introduced that have been a little bit confusing as well and were going to go over the basics first here in the first lecture and tell you a little bit about the definitions and also the path of physiology behind heart failure now generally speaking if you look at the heart and we will symbolize that here with actual heart remember the heart is just a pump and youve got blood going into it and by definition all blood that goes to the heart must go to the heart via veins and then you have blood coming out of the heart and by definition those are arteries now of course in the pulmonic circulation the arteries have deoxygenated blood and the vein has oxygenated blood and in the systemic circulation all of the arterie