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[Music] hello everybody and welcome back to another episode of my beat goes on as always my name is Chris and Ill be your host today and today we are finishing up our series on the stages of congestive heart failure today is going to be concent congestive heart failure stage d also known as end-stage heart failure so what is stage d heart failure this is when a person will have advanced heart failure symptoms where treatment does not help this doesnt mean that your treatment wont make it mildly better a little bit better but it means your symptoms really dont go away and those are the symptoms like the shortness of breath the edema stuff like that it just doesnt go away for you so this obviously must be diagnosed by a doctor and stage D as I said before is also known as n stage heart failure and the reason its called NCH heart failure is because of these treatment options which youre gonna have all your other treatment options from stage a to see if your on them but they might