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Heart failure occurs when the heart is unable to provide sufficient blood to meet the bodys needs. Heart failure is not a disease on its own but rather a consequence of other underlying conditions. The impairment of the heart function can be due to an inability to PUMP effectively during systole, called SYSTOLIC heart failure, or inability to FILL properly during diastole, called DIASTOLIC heart failure. Heart failure can be right-sided or left-sided depending on the side that is affected. About two thirds of all leftsided heart failures are caused by systolic dysfunction. In systolic heart failure, ventricular contraction is compromised. This may be caused by any condition that weakens the heart muscle or creates more difficulty for the ventricle to pump. The most common include: - Coronary artery disease and its consequences: Plaque buildup narrows the coronary artery, reducing blood supply to the heart muscle. Complete blockage can cause heart attacks which often leave behind non-