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[Music] hello ladies and gentlemen this will be a talk on congestive heart failure and this is an update to a lecture that i put up many many years ago i think going back to 2013 and i wanted to revamp this video because there have been some pretty docHub changes in the recommendations of management of congestive heart failure enough to the point where i think its been long enough that the exam may actually reflect this and i go through qbank and stuff i have an ongoing subscription there and i like to make sure that all of my videos are still up to date relevant and there have been some changes ive noticed that are going to be reflected on the exam so thats why im going to go through and and revamp this video now congestive heart failure is bread and butter internal medicine on the warts youre going to see it all the time its absolutely going to come up on your exam knowing this stuff is very useful were going to see though that one form of congestive heart failure does n