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Please use the sample slide format to disclose COI status. Use Form 2-A when there are no conflicts of interest to disclose. ※ Oral presentation : COI status should be placed after the title slide Poster presentation : COI status should be at the end of the poster 【Form 2-A】 The 22nd Annual Scientific Meeting of the Japanese Heart Failure Society COI Disclosure Name of First Author : 　The authors have no financial conflicts of interest to disclose concerning the presentation.

The 22nd Annual Scientific Meeting of the Please use the sample slide format to disclose COI status. Use Form 2-B when there are conflicts of interest to disclose. ※ Oral presentation : COI status should be placed after the title slide Poster presentation : COI status should be at the end of the poster 【Form 2-B】 The 22nd Annual Scientific Meeting of the Japanese Heart Failure Society COI Disclosure Name of First Author : 　Give the name of commercial entity involved. 　 ①Consultation fees:　　　　　　　none　　　　　　　②stock ownership/profit:　　none 　　③patent fees:　　　　　　　　none 　　④remuneration for lecture:　　　　　　　　　none 　　⑤manuscript fees:　　　○○pharmaceutical company 　　⑥trust research/joint research funds:　　　○○pharmaceutical company 　　⑦scholarship fund:　○○pharmaceutical company 　　⑧Affiliation with Endowed Department:　　yes（○○pharmaceuticals）　　⑨Other remuneration such as gifts:　　none If “yes”, give the name of company/organization. There is no need to disclose the amount.