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Deaths from cardiovascular diseases, principally acute myocardial infarction and cerebrovascular accidents, have decreased substantially over the past two decades, largely as a result of aggressive antihypertensive therapy, the recognition of the hazards of tobacco abuse, improved nutritional patterns coupled with a decrease in cholesterol values in the general population, and an increased emphasis on physical activity. Survival has increased because of advances in acute care and cardiac surgery. However, these developments have produced a growing population of patients who have survived a myocardial infarction or who have a stable, if not controlled, pattern of angina pectoris due to atherosclerotic coronary
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