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Iamp;#39;m Greg wood Iamp;#39;m one of the heart failure uh attendant here so weamp;#39;ll be covering uh the CCU as well so weamp;#39;ll be working with you guys um and U asked to talk about right heart failure today I think this is kind of an issue that that a lot of people find challenging to manage and it can be challenging to manage and so I think um getting a a sense of of how to first of all Define it um to look into some of the causes for right heart failure how to evaluate um heart failure particularly at the bedside um with a focus on hemodynamics and then looking at treatment strategies and I think that kind of presents one of the most challenging things for right heart failure so um to start with a definition I think you can think about right heart failure in a couple of different ways um you can look at just purely RV systolic function abnormality so low um RV ejection fraction uh often defined by echo or other parameters um and then kind of a a further um definition o