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hello Im Eric strong from Stanford University and strong medicine in todays episode of intern crash course Im discussing acute decompensated heart failure this is a huge topic and in order to keep the video relatively brief Ill be discussing only the most important clinical points an intern needs to know and Ill be making the assumption that you the viewer have already a med student level knowledge of heart failure including how it presents lets start with a few important definitions which often get confused heart failure what is it its a clinical syndrome one characterised by science and symptoms of either low cardiac outputs and/or fluid overload a cardiomyopathy is a pathologic diagnosis specifically a disease of the myocardium there is some disagreement with the term between its formal definition and the definition in common use formally professional societies currently define a cardiomyopathy to be a disease in the absence of coronary artery disease hypertension or valvula