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hi my name is Aubrey Jones and today we are going to be talking about heart failure very quickly and this weekamp;#39;s presentation you guys will want to select in this patient population so first just to Define heart failure it is a structural or functional impairment that really just results in the inability of the heart to pump blood at a rate sufficient to meet the metabolic demands of the body the one definition that I want you to be familiar with throughout this presentation because itamp;#39;s referred to in regards to how we classify heart failure is the ejection fraction which is a fraction of blood that is pumped out of the left ventricle with each heartbeat risk factors for heart failure include pretty much what you see in most old older patients so hypertension diabetes history of atheroscl disease so history of an MI or stroke metabolic syndrome lung disease and the list goes on so like I said I wanted you guys to be familiar with that definition of injection fraction b