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good morning iamp;#39;d like to welcome everyone to our talk today itamp;#39;s really a highlight for us to share our teamamp;#39;s perspective on managing detecting managing cardiogenic shock and defining exit strategies and really the focus is to highlight the hub and spoke approach we are pursuing related to our system management of cardiogenic shock and so we have a an exciting group of discussants that are integral members of our cartogenic shock team and weamp;#39;re going to start off with dr zia taima heamp;#39;s an advanced heart failure specialist here at main campus we were fortunate fortunate to recruit him from texas heart where he was leading a number of initiatives including cartogenic shock and as you will um appreciate our team consists of advanced heart failure representation specialist involvement critical care surgical interventional and others and so weamp;#39;re delighted to have this platform and weamp;#39;re gonna start off with uh with ziad hi good morni