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I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure. I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure. I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure.Left heart failure. Clinical Information. Failure of adequate output by the left ventricle despite an increase in distending pressure and in end-diastolic volume, with dyspnea, orthopnea, and other signs and symptoms of pulmonary congestion and edema. Heart failure involving the left ventricle.
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