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in chapter 19 were gonna talk about heart failure and dysrhythmias so heart failure is the inability of the heart to maintain sufficient cardiac output to meet the bodys metabolic demands of you know tissues and organs and when the hearts failing to pump blood this results in congestion of blood flow in the vainest circulation of either the pulmonary or the systemic circuits depending on what side of the heart is failing to adequately pump blood throughout the u.s. theres an increasing incidence of heart failure and its the most common reason for hospitalization and those 65 years of age or older now afoot were gonna first talk about systolic dysfunction so systolic dysfunction is typically caused by a myocardial infarction and this member systole your systolic refers to a state of contraction so systolic dysfunction is due to reduced contractility which is evidenced by a lower ejection fraction reduced inotropy during systole and therefore a reduction in stroke volume and cardia