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to follow up on a patient with heart failure can you see can you anticipate good results do you not know what youamp;#39;re going to get what is the life expectancy whatamp;#39;s what do we think of when somebody is weamp;#39;re at stage one two three weamp;#39;re three now and I havenamp;#39;t hit and hit four so you know there are several things we look at yes stage of heart there is important and that more looks at functional capacity of the patient that plus what we do a six minute walk test how far you can walk in six minutes is probably more predictable in terms of outcome or prognosis than what your ejection fraction is so you take them outside and start water can or we have these fifty meter you know location we just tie them for six minutes they walk back and forth in the office and we count how many times I do it you sit there with the rhythms they walk fast my patients are usually pretty motivated that they want to beat their record etc and after their six minutes of wa
