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Today's tutorial covers the complex topic of heart failure, focusing on heart failure exacerbations, predisposing factors, and treatment. The discussion addresses the initial approach to treatment, the use of diuretics and beta blockers, and the role of renal dysfunction. Disclaimer: this lecture is geared towards real-world heart failure management rather than board material, where concepts may be controversial or physician-specific. Considerations for decompensated heart failure and ways to organize thoughts for effective management are also highlighted.