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[Music] a very good morning and welcome to all of you to the houston methodist debakey heart and vascular center grand rounds i hope all of you are staying warm and safe and im arvin bhimraj im the interim division chief of the division of heart failure at houston methodist hospital and i have our my co-host here dr ali whos our first year cardiology fellow aspiring to become an advanced heart failure cardiologist and a rising star in the field of heart failure before we move on to our exciting talk today just a few housekeeping comments uh if you have questions youll have instructions that will come up on the screen but you can either text to debakey to 37607 or you can go to pollevey.com and enter debakey so kindly use that opportunity uh to send in your comments and questions all throughout the presentation and well address it at the end also a reminder to everybody that this is heart month and heart awareness everybody should do their part and can do their part and and more r