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hello Iamp;#39;m Tony tameria the editor of Jack and we have three papers in the July tenth issue with new insights into very different topics about half of our heart failure patients have preserved left ventricular ejection fraction even when these patients are stable and well compensated exercise intolerance remains a docHub manifestation of their disorder in the first paper I want to talk to you about hey Kowski and colleagues report on the effect of endurance training on the determinants of peak exercise oxygen consumption in elderly patients with heart failure and preserved ejection fraction they evaluated the effect of four months of supervised and endurance exercise training in patients with a median age of 69 this was not marathon training during the study however exercise intensity did increase from forty percent to seventy percent of heart rate reserve the investigators found that peak exercise vo2 was docHubly increased in those patients undergoing exercise traini