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so its actually kind of complicated topic believe it or not but Ill try to get through things in time for for questions tips so the objectives are the key things that we try to talk about today about heart failure is whats a heart failure exacerbation why people are predisposed to having heart feel exacerbations and then treatment so what the initial approach to treatment is the role of diuretics through all of beta blockers and some things about the role of renal dysfunction disclaimers so um this is more of a like a real-world heart failure lecture this is not really board material and youll see why because a lot of this stuff is kind of vague or controversial or or physician position specific and youll probably hear things that are completely contrary to things youve heard about in the past about heart failure management so whats a QT compensated heart failure so theres a few ways to think about to try to organize your thoughts so we see heart failure usually either as a new