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welcome everyone to this exciting symposium entitled advancing patient care across the heart failure continuum im joanne lindenfeld im a professor of medicine at vanderbilt university and i direct the heart failure and transplant program uh and shortly im going to be giving you an introduction to challenges in managing our heart failure patients but first let me do introduce the whole symposium were going to discuss several devices across the heart failure disease continuum including cardamoms with dr andrew sauer discussing the cardi mems system and how to use it and how we can improve patient care microclip therapy with dr paul mahoney microclip particularly for secondary mitral regurgitation and then heart mate 3 therapy the left ventricular assist device thats now by far most commonly used in the united states and jen cower is an ideal person to give us a wonderful overview at the end well have a panel discussion about all of these therapies and how they interdigitate and he