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hi this is tom from zero define as calm in this video Im going to be going through chronic heart failure you can find written notes on this topic at zero to finals comm forward slash heart failure or in the cardiology section of the 0de finals medicine book so lets jump straight in as the name would suggest chronic heart failure is essentially the chronic version of acute heart failure its caused by either impaired left ventricular contraction which is systolic heart failure or left ventricular relaxation which is diastolic heart failure this impairment in leffen tricular function results in a chronic back pressure of blood trying to flow into and through the left hand side of the heart and the way I picture this is a bit like a bus stop where too many buses have turned up at the same time causing a queue of buses down the road and traffic behind them all backed up and clogging up the roads when blood cant flow through the left-hand side of the heart and out into the body it backs
