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♪♪♪ - When you think about it in a very simple fashion, the heart is a muscle and its main job is to pump blood. But certain things can cause it to fail. Thereamp;#39;s genetic reasons, thereamp;#39;s reasons related to valve disease, thereamp;#39;s myocarditis where you get a viral infection that affects the heart. Itamp;#39;s a final common pathway that can result from many, many different things. The most common cause is a heart attack. You get fatty plaque buildup inside the blood vessel that actually supplies the heart itself, and unless that blood vessel is opened up immediately, that muscle will die. The rest of the muscle thatamp;#39;s left, thatamp;#39;s not dead anymore, has to do extra to keep up with whatamp;#39;s been lost. And overtime it canamp;#39;t keep up and thatamp;#39;s when the heart starts to fail and heart failure develops.