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can you talk a little bit about the different types of heart failure you had mentioned a little bit about sometimes itamp;#39;s a contractility problem sometimes itamp;#39;s a stiffness issue how is heart failure typically described or categorized so so I think thatamp;#39;s a good looking at the ejection fraction which is a way to measure the strength of the heart muscle we could distinguish what we call systolic heart failure from diastolic heart failure so the systolic heart failure is an issue of weakness in the heart muscle the heart is not pumping enough blood forward therefore there is a lot of blood inside when the blood is coming back the pressure in the system is very high so that is systolic heart failure and itamp;#39;s important to distinguish when somebody has a congestive heart failure to distinguish if this is due to systolic or diastolic because the therapy is slightly different in diastolic heart failure then the issue is a stiffness the the heart muscle could be
