RT Journal Article SR Electronic T1 Heart failure: a story of damage, fatigue and injury? JF Open Heart JO Open Heart FD British Cardiovascular Society SP e000684 DO 10.1136/openhrt-2017-000684 VO 4 IS 2 A1 Prithwish Banerjee YR 2017 UL http://openheart.bmj.com/content/4/2/e000684.abstract AB Heart failure has been recognised for years but the complete picture has been difficult to clearly understand. This article aims to try and put forward a proposed mechanistic explanation to encompass all that we see within the clinical heart failure syndrome using supporting published evidence. The aim of the article is to link, using published evidence, all the known varieties of heart failure into a spectrum that is explained by simple interlinked processes. In addition, the concept of routinely looking for reversibility of left ventricular dysfunction is introduced.