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hello everyone in cardiomines channel and welcome to the third type of heart failure were going to speak about today which is heart failure with preserved ejection fraction as we mentioned in the last video that heart failure is not a single pathological diagnosis but a clinical syndrome consisting of cardinal symptoms plus minus signs due to structural or functional abnormality or both of them resulting in elevated intracardiac pressure and or inadequate cardiac output sometimes we call them backward failure and forward failure and these abnormalities appear at rest and or during exercise and remember this table describing the three basic types of heart failure and as we mentioned signs may not be present in the early stages of heart failure and in optimally treated patients especially in heart failure with preserved ejection fraction our main topic today and as we find in this type of heart failure which we sometimes appreciate as hefpef the main criteria to diagnose are the presen