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Our findings suggest that the race and sex of a patient independently influence how physicians manage chest pain.

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EART FAILURE IS A SYNDROME characterized by dyspnea and fatigue; however, patients with heart failure often also experience diminished health status, including reductions in physical and social functioning and other dimensions of health-related quality of life. 1,2 Pharmacological and device interventions and disease management programs for heart failure have provided little or modest improvements in healthrelated quality of life. 3,4 The extent to which exercise training in addition to optimal evidence-based therapy improves patients' health status is unknown.See also p 1439.

The extended use of clopidogrel in patients with DES may be associated with a reduced risk for death and death or MI. However, the appropriate duration for clopidogrel administration can only be determined within the context of a large-scale randomized clinical trial.

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