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were talking now at ATS 2014 with Andrew Hofmeister from shape Medical Systems thanks for stopping by sir thanks Tom thanks for having me so what is shape shape is an in-office cardiopulmonary exercise test it works on a gas exchange at light levels of exercise to better diagnose and monitor patients with pulmonary are two Harvard hypertension its FDA approved what is its role in PAH well its principal role is in the diagnosis and follow-up management of the disease as you know the index of suspicion that pulmonologist generally have for this disease is appropriately low because its a very rare disease also the challenges of diagnosing it involve a right heart catheterization the combination of those two issues make it an under and late diagnosed disease cardiopulmonary exercise testing is a fast non-invasive inexpensive way to determine whether theres any pulmonary vascular resistance and with a light exercise test tell the pit tell the physician whether its likely that the pat