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good morning everyone iamp;#39;d like to welcome you to uh grand rounds today with the heart foundation i first want to thank our pharmaceutical sponsors jansen and eli lilly for supporting um for their ongoing support of this uh meeting as we traditionally do we introduce just a research study prior to getting started and i thought weamp;#39;re going to be starting this study here very soon and it was timely given pageamp;#39;s talk uh the title of this upcoming research study that hopefully is going to start next month is called sglt 2 inhibition improves left ventricular function and reduces adverse left ventricular remodeling and high risk patients with microvascular obstruction following st elevation myocardial infarction is quite a a mouthful so to be in this study these will be patients with their first stemis with have at least mild lv dysfunction and elevated uh moderately elevated troponin with an infarct size greater than 10 percent of their left ventricle and evi