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on the Cardiology Ward there were two people who had been admitted to the hospital repeatedly the first one is 70-year-old Lydia who had a myocardial infarction about 3 years ago she presents with fatigue and dnia she says that she usually wakes up at night because of shortness of breath but using more pillows when sleeping helps relieve it somewhat on examination she has pitting edema in her legs and on oscilation an S3 sound is heard the other person is 81-year-old Richard who has been a smoker for the past 50 years he is also experiencing fatigue and has pitting edema but on further examination thereamp;#39;s also jugular Venus distension and hepatomegaly okay so both these individuals suffer from heart failure heart failure is a clinical syndrome used to describe the inability of the heart to pump enough blood or a point at which the heart canamp;#39;t supply enough blood to meet the bodyamp;#39;s demands this can happen in two ways either the heartamp;#39;s ventricles canamp;
