A respiratory condition that interferes with normal and/or substantial uptake of oxyyen with breathing can stress the heart to work harder to meet the system's oxygen demand. A harder working heart that may have some issues can increase the left ventricle dimensions and heart failure. It is recommended for anyone who has a heart problem to get pneumonia shots, especially the elderly. I don't know if pleurisy effects the air sacs that permit the passing of co2 and oxygen, but pleurisy may cause a problem because of inflammation of the outer tissues that affect and cause shallow breathing?!