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congestive heart failure or CHF is a complex syndrome that can result functional cardiac disorder that impairs the filling or ejection ability of the ventricles congestive heart failure is present in approximately five million people in the United States in this animation we will review the pathophysiology of CHF we will also highlight the mechanism of action of digoxin letamp;#39;s take a closer look at the heart take a moment to identify the various anatomical structures we are looking at a representation of the normal function of the heart notice how blood leaves the ventricles with each contraction a variety of conditions can predispose to CHF including myocardial infarction hypertension valvular heart disease cardiomyopathy and amyloidosis but pathologic change is caused by these conditions lead to decreased contractility and subsequently decreased cardiac output this will cause a reduction in blood pressure in response to the decrease in blood pressure the body tries to compensa