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Florida Heart Research Institute, 4770 Biscayne Blvd, Site 500, Miami, FL 33137
(Email: doctorwu18@aol.com).
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Despite remarkable advances in interventional and medical therapy during the past 2 decades and a continuing decline in death, cardiovascular disease remains the leading killer in our country, and, increasingly, throughout the world. The current epidemic of obesity sadly promises to erase medical progress. Therefore the question of optimal treatment will remain a lively and hopefully productive debate for years to come.
Provocative studies such as Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) [1] have called into question the value of percutaneous coronary
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