It does not take a lot of leaves to make a jar full. A small jar of file' goes a long ways, because not much is used in a bowl of gumbo. How to use file' as a table condiment on gumbo. File' is sprinkled on the surface of your gumbo at the table. File' makes the gumbo thick if you let it set for awhile. Don't add file' to the gumbo during cooking or else it will make the gumbo thick and stringy.
Heart failure means that your heart muscle doesn't pump as much blood as your body needs. Because your heart cannot pump well, your heart and your body try to make up for it. This is called compensation. Your body has a remarkable ability to compensate for heart failure. The body may do such a good job that many people don't feel symptoms in the earlier stages of heart failure.
Anything that weakens the heart's ability to fill with blood or pump blood can lead to heart failure. The three most common causes are diseased arteries in the heart (coronary artery disease, or CAD), high blood pressure, and dilated cardiomyopathy (diseased or enlarged heart muscle). Nearly any form of heart disease can lead to heart failure. Other causes include the following: