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In his book of essays, In the Country of Hearts: Journeys in the Art of Medicine (New York: Delacorte Press, 1990), John Stone writes, "[The heart] provides three billion heartbeats for the average person in a lifetime and even that huge number, as we live longer, continues to spiral upward in a kind of benevolent cardiac inflation." This benevolent cardiac inflation has two faces: the longevity of our population is increasing, yet the heart of the elderly person is subject to the changes of "normal" aging, the ravages of cardiovascular disease, and the effects of coexisting illnesses. The characteristics
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