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welcome ladies and gentlemen to our program today im very happy to have you here and look forward to a really brisk discussion after our after our lectures we are im phil adamson im the chief medical officer for the heart failure division here at abbott and you know one of the things that allows me to get up in the morning and have a smile on my face is being able to go to work to in a situation where our innovations are actually focusing on the pathophysiology of heart failure and the patient who has heart failure and and that transcends all silos it really does and and all the components that we bring as innovations to patients who suffer with this disease it our components of the pathophysiology as we address those components but we also coordinate those interventions to ensure the maximization and the outcomes of our patients so im excited today about our symposium were going to talk about the device therapy for patients with heart failure across that pathophysiologic continu