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describes a condition that impairs the normal pumping of the heart, caused by myocardial infarction, atherosclerosis, or cardiomyopathy.

In CHF, blood is not efficiently ejected from the left ventricle, resulting in volume overload, chamber dilation, and abnormal intracardiac pressure, followed by pulmonary and venous congestion and peripheral edema.

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Sometimes this is because certain types of treatment are not available in their home countries or because of long waiting lists on NHS or simply for economic reasons.

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