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abnormal ACC/AHA ACE inhibitors acute coronary syndromes acute myocardial infarction angina pectoris angiographic aorta aortic aneurysms aortic dissection arrhythmias aspirin associated atherectomy atherosclerosis beta blockers blood flow bypass surgery CABG calcium cardiac Cardiovasc cardiovascular Chap chest pain cholesterol Circulation clinical Coll Cardiol coro coronary angioplasty coronary artery bypass coronary artery disease diabetes diagnosis dilatation distal dose echocardiography effect endothelial Engl evaluation exercise guidelines heart failure heart rate hemodynamic heparin imaging increased inhibitors intravenous ischemic left ventricular dysfunction left ventricular function lesions long-term medical therapy mitral mortality multivessel myocar myocardial ischemia myocardium nary occlusion outcome oxygen patients with acute patients with AMI percent of patients percutaneous plaque platelet pressure PTCA pulmonary randomized trials recurrent reduced reperfusion restenosis revascularization risk factors rupture stenosis stent Surg surgical survival symptoms systolic testing thoracic thrombolytic therapy thrombus tients TIMI tion transluminal treatment troponin unstable angina vascular vasodilator versus vessels