ABSTRACT

Heart failure is most often (but not always)

due to left ventricular systolic dysfunction,

which is most often (but not always) due to

ischaemic heart disease, which is most often

(but not always) due to coronary artery

disease, which is most often (but not always)

due to coronary atherosclerosis. When we use

the term ‘heart failure’ we tend to use it to

encapsulate all these conditions, at least in our

heads. Whilst we are most often right to do

so, we must not forget the varied minority of

conditions in which we are not.