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heart failures used to describe a point at which the heart cant supply enough blood to meet the bodys demands and this can happen in two ways either the hearts of ventricles cant pump hard enough during systole called systolic heart failure or not enough blood fills into the ventricles during diastole called diastolic heart failure in both cases blood backs up into the lungs causing congestion or fluid buildup which is why its also often known as congestive heart failure or just CHF congestive heart failure affects millions of people around the world and since it means that the bodys needs arent being met it can ultimately lead to death part of the reason why so many people are affected by heart failure is that there are a wide variety of heart diseases like ischemia and valvular disease that can impair the hearts ability to pump out blood and overtime can ultimately cause the heart to fail all right so first up is systolic heart failure kind of a mathematical way to think about