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Cardiovascular diseases, especially coronary heart disease and ischemic stroke, are the leading cause of morbidity and mortality in the Western world. Although the importance of primary and secondary prevention has been recognized, the decline in rates of mortality from coronary heart disease and stroke slowed or ceased in the past decade. Current practice in secondary prevention falls short of providing the best care to the patient. Guidelines from leading medical societies in the United States and in Europe strongly recommend clear strategies for secondary prevention, but the application of these recommendations in daily practice is at a far from acceptable
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