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In this MedCram lecture, we discuss heart failure and the various definitions associated with it. There have been updates to terminology that may be confusing, but we will cover the basics and the pathophysiology in this lecture. The heart is essentially a pump receiving blood through veins and sending it out through arteries. The pulmonary circulation carries deoxygenated blood in arteries and oxygenated blood in veins, while the systemic circulation works in the opposite way.