Faulty valves: stenosis, regurgitation (leaks)
Arrythmias: a-fib (atriums not pumping efficiently), tachy (prolonged strain)
Infarction: from CAD; blockage --> lack of O2, nutrient supply --> ischemia --> cell death, muscle weakness (CAD, atherosclerosis)
Lineage: family history, congenital issues
Uncontrolled HTN: leads to stiffening (valves can't fill properly)
Recreational drug use: stimulants, EtOH
Evaders: viral, bacterial
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