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If our valves are leaky then again, a smaller volume of blood is effectively ejected because some leaks back Cardiomyopathies – if the heart muscle itself is defective in some way then that makes it weaker. This includes conditions like familial hypertrophic cardiomyopathy, familial dilated cardiomyopathy etc.
If the pump is in any way defective then not as much blood comes out of the heart and the body and all our vital organs will get less blood than they should and this could lead to harm. So cardiomyopathies, valve problems, myocarditis and previous heart attacks all cause a problem with the pumping function of the heart.
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