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A heart can get damaged and weakened due to many causes. Some important reasons are :

  1. Reduced blood supply (Coronary Artery Disease )
  2. Heart Attack
  3. High blood pressure : Especially, if it remains uncontrolled over years or increases abruptly (Accelerated Hypertension)
  4. Diabetes
  5. Viral infection
  6. Valvular heart diseases
  7. Certain congenital heart diseases
  8. During pregnancy (Rarely)
  9. Uncontrolled fast heart rhythm for long 
  10. Clotting of blood in pulmonary artery (Pulmonary Embolism )
  11. Chronic lung problems (Asthma, Chronic Obstructive Pulmonary Disease, Pulmonary Artery Hypertension)
  12. Swelling on the pericardium (Pericarditis)
  13. Thyroid and other hormonal diseases
  14. Deficiency of Vitamin B12 
  15. Reduced haemoglobin (Anaemia)

It is very important to know the reason of heart failure. Only by knowing this, its root cause can be treated and heart can be made strong again. Nevertheless, it is not possible to know the reason in each case. In many cases the root cause is not found even after carrying out many tests like X-ray, cardiogram, echocardiography, angiography and other blood tests.

If the muscles of the heart has suffered permanent damage or have become dead, the pumping of heart can never become normal again, even after giving the best treatment.