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so good afternoon Hassan Hassan II heart failure cardiologist so today well do the first of three talks on heart failure so I understand this is the last talk for the day right so you guys all ready to go to sleep so I know a few of you and then a lot of new faces Ive always enjoyed coming to this time for you know giving lecture and you know kind of get to know the residents and work with them and I always enjoy this this opportunity so again I think heart failure is important to cover not only because its gonna show up on your board but you will see it as you see patients whether its internal medicine straightforward hospitalist kind of patient population or if youre on the cardiology service or if you when you finish and you know whatever specialty that you going into youre gonna see heart failure patients um I thought Ill go ahead and and do one introductory lecture which is today painful lecture because it will be epidemiology and pathophysiology so thats my disclaimer an