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ust a quick note in response to the recent New York Times piece on Tim Russert's passing "...Some Painful Truths." Many of the Times comments speak to the futility of the inability to make the diagnosis, when in fact it was already previously made, and many have been talking about these issues regarding vascular health for years. Vascular health is a subject implicit in many conditions from heart to brain, and just as evidence with brain science has a difficult time finding a place in everyday practice, many cardiologists are missing the evidence boat.