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[Music] chronic heart failure is a condition in which the hearts ability to pump blood carrying oxygen and nutrients into the body is reduced heart failure is caused by conditions that damage the heart muscle the causes include coronary heart disease a heart attack or high blood pressure among others symptoms of heart failure include shortness of breath tiredness and a general feeling of weakness prolonged persistent cough accumulation of excess fluid in the stomach or lungs swelling in the limbs and arrhythmias of the heart can also occur heart failure is almost always treated with medications first to relieve symptoms and slow the progression of the disease some patients may also be fitted with a special pacemaker which can be an effective treatment for certain patients with widened qrs durations unfortunately most patients with heart failure are not indicated for a crt pacemaker [Music] impulse dynamics has developed a new form of treatment designed to improve contraction of the h
