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(Acoustic music) - [Dr. Zebrack] Congestive heart failure is a process where the body accumulates too much fluid. There are many causes of heart failure. Um, theres two general types that we call systolic or diastolic. Systolic refers to when the heart function is weak and when the heart is enlarged. And diastolic is a general term for excess fluid accumulation without enlargement or weakening of the heart. One of the most common causes of heart failure is heart disease or cholesterol build up, which can cause a heart attack and therefore damage and scar tissue to the heart muscle, which creates abnormal hemodynamics or function of the heart, that has to change over time to compensate for the damaged area. And thats called remodeling. But there also are hormones that are activated in that setting that create additional fluid retention in the body. Because the heart function is not appropriately, the output of blood is not normal, the body compensates by retaining fluid, acting as if
