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today we are going to talk about the modern Concepts in heart failure heart failure means heart fails as a pump one of the major function of the heart is pump the blood in circulatory system right but who will tell me really a good definition of heart failure uh lets talk about to Dr Nader yes whats your personal concept of heart failure just loudly please okay he says heart failure is a condition in which heart fails to meet the remark of the body lets suppose if Im feeling very much cold and chilly and my demand is to get some sweeter do you think if heart fail to provide me sweeters heart failure so your definition is not right is that right so what is the definition of heart failure yeah thats very important that basically how we Define heart failure basically this is the failure of the heart reduce normal function now first of all what is the normal function of the heart normal function of the heart is to provide the body with enough cardiac output so that metabolic needs o