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of the heart to pump blood forward at a sufficient rate to meet the metabolic demands of the body (forward failure) or the ability to do so only if the cardiac filling pressures are abnormally high (backward failure), or both.
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Made in Russia: Unsung Icons of Soviet Design ing for patients with CHF accounts for 2–3% of the federal health-care budget. The estimated direct and indirect cost of CHF in the United States in 2005 was $27.9 billion.1 There are 2 mechanisms of reduced cardiac output and
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