Now, imagine a patient with a severe circulatory problem, such as congestive heart failure, where the distribution and supply of oxygen can not keep up with the tissue demands for oxygen. This means that the heart can not pump blood fast enough for the blood to bring oxygen to all the tissues as quickly as they need it. Explain at the cellular level, based on what you have learned today about cellular aerobic (an anaerobic) respiration, how this diagram will change for this patient, and why this patient will soon develop metabolic acidosis.