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so let's talk a little bit about a treatment clearly treatment goals are to reduce the edema to reduce the excess fluid volume and to make the patient much more comfortable and able to have full activity you'd also like to increase the pumping ability of the heart sometimes if it's for example in the patient we talked about in the last lecture somebody with aortic stenosis taking away the stenotic valve and putting in a good valve allows the ventricle to recover in other settings if it's due to severe ischemia lack of blood flow in the heart coronary bypass or angioplasty may improve the blood flow in the heart and may not always but may improve the function of the ventricle and again lead to resolution of symptoms and there's a variety of drugs that help increase the removal of fluid from the body for example diuretics that increase renal excretion of water and salt will reduce the excess volume of salt and water in the body and often lead to marked improvement in the symptoms patien...