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okay so Im going to focus on implantable hemodynamic monitoring but Im really going to take you on a journey of how we got there and talked a little bit about what I think the future may hold so first of all why is this important well I know I dont need to convince this audience that heart failure represents a major and growing public health concern despite current therapies and disease management approaches the rate of heart failure hospitalization remains unacceptably high there are more than a million heart failure hospitalizations annually in the u.s. thats where heart failure is the primary cause of hospitalization heart failure is the number one cause of hospitalization for those aged 65 years or greater it is the number one cause of hospital readmission and this is when compared to all other medical or surgical causes of hospitalization I mean think about that in the Medicare population the 30-day readmission rate for heart failure is 27% and we spend in excess of 18 billion
