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my hands and my short white medical
medicine will always remain, as the ancient Greeks first dubbed it, an Art.
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it. Eighty percent of people whose heart disease eventually kills them are victims of this particular form of it: Ischemic heart disease (or coronary artery disease, or coronary heart disease, as it is variously called) is the leading cause of death in the industrialized nations of the world.
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Heavy, wet lungs with a sluggish circulation are an ideal breeding ground for bacteria and advancing inflammation, which is why so many cardiac patients die of pneumonia. But
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Specifically, the cardiologist begins by evaluating not only the current condition of the patient’s heart and its coronary arteries but also the probability that worsening is so imminent that active steps must be taken to prevent it.
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Family history, dietary and smoking patterns, probability of compliance with medical advice, plans and hopes for the future, dependability of a support system of family and friends, personality type, and potential for modification if necessary—these are all factors that must be given proper weight in making decisions about treatment and long-term prognosis.
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This last-named condition is called cardiogenic shock. It and pulmonary edema are by far the most common cardiac enemies that are perpetually being fought in intensive care units and emergency rooms.
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Approximately 20 percent of hospitalized stroke victims die soon after the episode and another 30 percent require long-term or institutional care until death.
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