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Sir Thomas Lewis opined in 1933 that "the very essence of cardiovascular practice is the early detection of heart failure." Heart failure at that time was a topic of substantial interest to physicians. In the past two decades that interest has been revived, and no longer is cardiology overlooked in favor of surgery, catheter intervention, and the early management of acute coronary syndromes. This change has come about because of the realization that heart failure is a common cardiac problem that is becoming more common, is detectable in the community, is preventable, is treatable, and consumes a considerable proportion of
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