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good afternoon im steve urquhart director of education as a global brand our abbott team is diverse bringing a variety of perspectives to the table and creating a culture of innovation and although we each have our unique characteristics we all work towards a singular goal beat is one the patient populations that you treat are also diverse each group having their own set of challenges and its critical to not only acknowledge these differences but also understand how they can affect hf outcomes our next speaker will discuss how racial disparities can be identified and combated in the management of heart failure patients please welcome natalie pearson registered nurse at penn medicine in philadelphia pennsylvania thank you so much for the introduction i really appreciate it i just want to go over a couple of things ive been a nurse for over 30 years and 25 of those years has been caring for patient with cardiovascular disease and more specifically with heart failure ive ive had an