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my name is harry advanceball iamp;#39;m associate professor of medicine from mcmaster university in canada and iamp;#39;m delighted to have with me today dr b kim bazkert who is a professor of medicine director of the winter center for heart failure research and immediate past president of the heart failure society of america and we are here to discuss the new universal definition and classification of heart failure welcome dr voskert thank you harriet weamp;#39;re going to start off by giving you the opportunity to tell us about the rationale behind this report on the universal definition and classification what were some of the limitations in the existing classification system thank you for that question harriet um there were a variety of reasons the first one is the academic definition of heart failure the heartamp;#39;s inability to meet the metabolic demands dough would be applicable to a docHub proportion of patients it probably was not relevant for most of our p