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hello again its dr chemnatas from cardiovascular interventions here in orlando and im very excited today to bring you a short video on a new tool that we have to manage congestive heart failure now congestive heart failure is one of the biggest problems we have today because it results in numerous admissions to the hospital and typically these are cardiac patients who fill up with water in their lungs and they cant breathe very well theyre very short of breath or they are in pulmonary edema and oftentimes theres very little clinical warning within a day within matter of hours they cant breathe and they end up in the emergency room and sometimes even on a ventilator so we have always wondered cant we put a device in the patient where we can preempt this admission where we can find out ahead of time whether this patient is going to go into congestive heart failure or not we need some sort of a measuring device thats telling us that the pressures in the lungs are going up and thi