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Tom from Zero to Finals discusses chronic heart failure in this video, explaining that it is the chronic form of acute heart failure. It can be caused by impaired left ventricular contraction (systolic heart failure) or left ventricular relaxation (diastolic heart failure). This impairment leads to a chronic back pressure of blood in the left side of the heart, similar to a queue of buses at a bus stop causing traffic congestion. This impairs blood flow to the body, resulting in symptoms of heart failure. For more information, visit zero to finals dot com forward slash heart failure or check the cardiology section of the Zero to Finals medicine book.