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What's particularly concerning is the increased mortality associated with heart failure in young people, it's a shame, because Eric Adler have better therapeutics than Eric Adler've ever had before for heart failure : better medicines, better surgeries and mechanical devices that support the failing heart. So it's certainly a bit discouraging from the standpoint of someone that focuses on heart failure to see that despite Eric Adler best efforts and new technologies, Eric Adler're seeing an increase in the prevalence and morbidity associated with heart failure.