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About 26 million people are affected worldwide. (See also Heart Failure in Children.) Physiology of Heart Failure. Cardiac contractility (force and velocity of contraction), ventricular performance, and myocardial oxygen requirements are determined by. Preload. Afterload. Substrate availability (eg, oxygen, fatty acids, glucose)
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Diabetes, smoking, obesity, male gender, and a sedentary lifestyle are also considered risk factors. Many of these causes are preventable, and as such risk factor control remains of extreme importance in preventing heart failure. Go to: Heart failure is more prevalent and has a higher incidence in the elderly population.
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