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[Music] hello and welcome to pathophysiology of heart failure my name is david woodruff im the editor of critical care nursing made incredibly easy i hope to make this incredibly easy for you too so lets talk about what heart failure is and then how it works with the pathophysiology heart failure is a progressive decompensation in cardiac function often as a result of a myocardial infarction maybe a cardiomyopathy which is a change in the way that the heart shape is usually as a result of hypertrophy chronic tachycardia or valvular dysfunction basically what happens with the heart is that we have an imbalance between oxygen supply and oxygen demand to the heart muscle and that results in progressive decompensation and function so if we were to take the heart muscle here and this is an illustration at the top of what the heart muscle might look like and then we break it all down here just to that one heart muscle cell thats what we see at the bottom there notice theres a couple imp
