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hello my name is David Joyce and Iamp;#39;m one of the cardiovascular surgeons at the Mayo Clinic in Rochester Minnesota today Iamp;#39;m going to be discussing the topic of left ventricular assist devices with a particular focus on which pumps we select when we have a patient who qualifies for one of these surgeries now heart failure is a very common condition and I would say thereamp;#39;s over five million people in this country currently who are suffering from symptoms of heart failure and the most common symptoms that people typically have are shortness of breath that can range from a little more difficulty doing physical activities all the way to being short of breath even just sitting in a chair and unfortunately itamp;#39;s a little bit difficult to determine where you are on that spectrum of heart failure just based on your symptoms in fact it can even be difficult to pinpoint what somebodyamp;#39;s prognosis is even after weamp;#39;ve done extensive testing for that rea