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the right side is the smaller walled muscle as well as having less workload component. however the right side is what pumps deoxygenated blood to the lungs. emphysema causes myriad issues with the vascular system in the lungs which produces backpressure to the right side of the heart. ignoring significant other involvement - the kidneys get impacted causing fluids to back up into the right side of the heart - called congestive heart failure (CHF). again this is a very simplified approach so a lay person may better grasp the subject

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