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One of the most important functions of the heart is pumping the blood to all your body. So the reason why you think, why you see, why you move, is because all your body, all your organs are receiving the oxygen via the pumping of the heart. So heart failure implies that the heart is not doing properly that function. So it is not pumping in a proper way, which is called Systolic Dysfunction. Systolic is the contraction of the heart or there is another possibility that is diastolic dysfunction, that is that the heart diastole is the relaxation of the heart, so diastolic dysfunction implies that the heart even if it pumping properly is not relaxing in the proper way, so the blood is not coming. It is not entering inside the heart in the best way. So heart failure implies that the patient or the heart is not able to provide the necessary blood to the other organs of the body. How to diagnose heart failure? Well in fact, the main thing to do is to speak with patients, so heart failure is a