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today were going to review heart failure which is a very specific diagnosis but it really just means that the heart pumping action is impaired before we discuss what happens when your heart is appeared its important to know how it works in some of the anatomy the larger chamber you see here is the left ventricle this is the main pumping chamber of the heart meaning that it pumps the blood that has been oxygenated from the lungs through the aorta the red artery here and out to the body blood travels through the heart through various valves they control the blood flow from one chamber to the next chamber any damage or disruption in the arteries the chambers the muscle tissue itself the valves can cause the heart to have impaired pumping action function there are a few terms thats important to be aware of when we talk about cardiac output were talking about the amount of blood thats circulated by the heart so really its the heart rate how many times your heart beats times how much