What is the typical result of left heart systolic failure?

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In left heart systolic failure, the heart's ability to contract and pump blood effectively is compromised. This condition leads to a decreased stroke volume, meaning that the heart cannot eject enough blood during each contraction. As a result, the overall cardiac output is diminished, which subsequently affects the body's tissues and organs by reducing the oxygen and nutrient delivery necessary for their function.

This situation also has secondary effects on the pulmonary circulation. As the left ventricle struggles to handle the volume of incoming blood from the lungs, it can lead to increased pressure in the left atrium and pulmonary circulation, causing pulmonary congestion and edema rather than increased blood flow to the lungs. Consequently, instead of enhanced cardiac output or increased oxygenation of the blood, the hallmark of this dysfunction is the reduced ability of the heart to properly perform its role as a pump.

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