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[Music] hello friends in this lecture I will be talking about inotropic drugs you know that inotropic drugs are primarily used for congestive heart failure and we dont often see that these drugs are used in too many other circumstances like MI and angina or in any other heart disease before I begin the lecture let me tell you the structure of todays lecture what I am going to talk about we start the lecture with an introduction to heart failure followed by talking about what actually I know trophy refers to and then we talk about the different types of inotropic agents their individual mechanism of actions and their adverse effects so lets begin the lecture by talking about what is heart failure see heart failure is a common clinical syndrome resulting from any structural cardiac disorder or it may result from any functional cardiac disorder that impairs the ability of your ventricle to fill the blood or to eject the blood to all different parts of your body what is ejection fracti