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hi my name is wilson tang im the research director for the section for heart failure and cardiac transplant medicine at the heart vascular and thoracic institute at the cleveland clinic today im delighted to have two of my colleagues dr sanjeev bhattacharya and dr pavinbach to talk about heart failure with preserve ejection fraction also called hepath this is a very topical discussion as we continue to see many many patients with this condition so uh dr daria what is hepath so uh that is a actual difficult question to answer uh and and its because we initially thought this was related to diastolic dysfunction in the heart and then as weve grown as weve grown to have more knowledge about this disease we know that the echo findings we see dont correlate to the symptoms people feel and we realize that it really comes down to pressure elevated pressures in the heart and sometimes that can be missed by just a screening echocardiogram and a screening anti-probienp or bnp which is impo