the italian cardiovascular epidemiological

8/13/2019 The Italian Cardiovascular Epidemiological.

1/45

Assfrvetaria Fpilfmiacakida DerliavesdacerfItecie`a

\jf Itecie` Derliavesducer FpilfmiacakidecAosfrvetary

(Itec Jfert H ?22 6 (Tuppc 4)8


2/45

Itec Jfert H Wac 6 Tuppc 4 ?22 fvfry Df`tfr wes nfpt u`lfr quecity da`tracluri`k tjf gifcl warn.

Mftalacakie

I`leki`f sui gettari li risdjia. Mftalacakif ste`ler-lizzetf saà stetf elattetf `fcce reddacte f misurezia`flfi gettari li risdjia.

Ce prfssia`f ertfriase stete misurete, prime lfcprfcifva, le u` i`gfrmifrf pragfssiaècf da` ce pfrsaèi` pasizia`f sflute, ec oreddia lfstra lapa ecmfà < miùti li ripasa. stete ilf`tigidete ce prfssia`f ertf-riase sistacide f liestacide, damf iìzia lfcce prime f qui`te gesf lfi taì li Naratnagg, use`la ca sgikmame- àmftra e mfrduria da` eppraprieta oreddiecf. Taàstetf ladumf`tetf luf cftturf da`sfdutivf f `fcceècisi stete da`silfrete ce mflie lfccf luf misureziaì. 4Cfpfrsa`f fsemiètf saà stetf sullivisf i` oarlfrci`f fipfrtfsf i` oesf ei vecari li prfssia`f ertfriase risda`-treti f ec trettemf`ta germedacakida. I oarlfrci`f i`dcu-lfveà qufccf pfrsa`f djf, damf mflie li luf misure-ziaì suddfssivf, prfsf`teveà vecari damprfsi gre 5 kci ipfrtfsi damprf`-lfveà dacara djf evfveà ce prfssia`f ertfriase sista-cide 572 mmJk a ce liestacide 96 mmJk appurffreà satta rfkacerf trettemf`ta germedacakida. celipasit el-lamiècf uè lfccf derettfristidjf djf passaà da`gi-kurerf ce si`lramf mfteoacide. We qui ridarleta djf e`-djf u` repparta vite/gie`dji 0 2.96 `fkci uamiì f0 2.:6 `fccf la``f da`silfreta i`lidf li elipasit el-lamiècf4.

Ceoituli`f ec guma li sikerftte, cettivit giside, cu-sa rfkacerf li tfrepif germedacakidjf saà steti reddac-ti ettrevfrsa u` qufstiaèria ste`lerlizzeta6. Ceoituli-`f ec guma li sikerftte rikuerleve ic da`suma eoituecfli sikerfttf ec kiarà ec mamf`ta lfcci`tfrviste, f pfrkci fx gumetari ic da`suma i` pesseta. Ic ;% lfigumetari i`tfrvisteti steta dacpita le i`gerta e reggra`ta

lfc ?% lfi à` gumetari. I leti qui prfsf`teti si rigfrisdaàecce grfquf`ze li gumetari rfkaceri,dia li dacara djfgumeà uè a pi sikerfttf ec kiarà,fl ec ùmfra mfliali sikerfttf ec kiarà pfr gumetarf. e`djf ripartete ce prfvecf`ze lfkci fx gumetari.Ic civfcca lfccettivit giside, ricfveta sfda`la ic quf-stiaèria ki uticizzeta `fccemoita lfc Rrakftta D@_E\T-_G? akì sakkftta lavfve i`liderf i` quecf detfkariemfkcia si ilf`tigideve. Rfr qufste eècisi cettivit giside stete tresgarmete i` sflf`terie f à` sflf`terie, quf-

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witj tjf Oafjri`kfr _fgcatra` Eddutrf`l Kcudasf lf-vidf. Gar tjis eècysis, suohfdts witj ocaal kcudasf 0 lete wfrf damputfl i` oaly mess i`lfx(wfikjt i` nk livilfl oy jfikjt i` m?). I` tjis eècysistjf oaly mess i`lfx wes usfl ta lfgi`f avfrwfikjt e`laofsity. Rfrsa`s witj e oaly mess i`lfx oftwff` ?6e`l ?9 nk/m? wfrf da`silfrfl avfrwfikjt, wjicf tjasfwitj e oaly mess i`lfx 42 nk/m? wfrf da`silfrflaofsf.

Jips e`l weist wfrf mfesurfl witj e tepfci`f, tjfsuohfdt i` ste`li`k pasitia`. \jf weist wes mfesurfl etmflium pai`t oftwff` cawfr flkf ag dastec erdj e`luppfr flkf ag icied drfst, wjicf fxjeci`k. Jips wfrfmfesurfl et gra`t e`l uppfr icied spi`fs i`lfpf`lf`tcyag tjf pasitia` ar sjepf ag outtadns. Mfesurfs wfrf rf-partfl i` df`timftfrs witj e lfdimec (2 ar 6). Emfri-de`5 e`l Furapfe`? kuilfci`fs rfpartfl eolamiècaofsity es e weist 0 52? dm i` mf` e`l 0 :: dm i` wamf`. Eolamièc aofsity is a`f ag tjf da`litia`s tjetmey cfel ta e mfteoacid sy`lramf. E weist ta jip retia0 2.96 i` mf` e`l 0 2.:6 i` wamf` is da`silfrfl e` i`-lfx ag eolamièc aofsity4.

Tmani`k jeoit e`l pjysidec edtivity e`l tjf rfkucerusf ag mflidec tjfrepy wfrf i`vfstiketfl tjraukj este`lerlizfl qufstia`èirf. Tmani`k qufstia`èirfi`-dculfl durrf`t, garmfr e`l `fvfr smanfrs.;% ag smanfrs jele stranf damperfl ta ?% ag fx ar `fvfr smanfrs. Tmani`kjeoit wes da`silfrfl ig tjf suohfdt smanfl a`f ar marfdikerfttfs e ley. Dikerfttf da`sumptia` gar durrf`t e`lgarmfr smanfrs wes rfdarlfl. I` tjf _fsucts sfdtia` tjfùmofr ag dikerfttfs smanfl pfr ley i` smanfrs issjaw`.

Rjysidec edtivity wes daccfdtfl tjraukj e qufstia`-èirf i`dculi`k < cfvfcs ag fxfrdisf (sflf`tery, micl,malfretf, jfevy) sfperetfcy gar warn e`l cfisurf timf.\jf qufstia`èirf jes ecrfely off` usfl i` e` Itecie`rfsferdj spa`sarfl oy tjf @etiaèc _fsferdj Dau`dic


4/45

Itec Jfert H Wac 6 Tuppc 4 ?22- trikcidfrili fcfveti (562 mk/lc a 5.; mmac/c)>- oessa JLC (3 3 62 mk/lc a 5.4 mmac/c `fccf la``f)>- prfssia`f ertfriase fcfvete (542/:6 mmJk).Ce gemicierit7pfr mecettif derliavesdaceri etfrasdcf-

ratidjf, pfr ipfrtf`sia`f, liscipilfmif f lieoftf stete i`lekete da` lame`lf rikuerle`ti i gemicieri da`se`kui-`fi li prima krela, da`silfre`la idtus f i`gerta lfc mia-derlia li u` perf`tf li prima krela emmeceta a lfdflu-ta i` ft 3 66 e`ì `fkci uamiì f 3 76 e`ì `fccf la``f.

6?T

i`k tjf micl, malfretf e`l jfevy detfkarifs i` tjf cet-tfr.

Rjermedacakidec trfetmf`ts da`silfrfl tjf usf age`tijypfrtf`sivf, jypacipilfmid e`l e`tilieoftidlruks, tjf espiri` usf gar prfvf`tia`, arec da`tredfp-tivfs, jarma`f rfpcedfmf`t tjfrepy.

Rrfvecf`df ag derliavesducer lisfesfs, mfteoacidsy`lramf, e`l gemicy jistary. \jf prfsf`df ag e`ki-è pfdtaris e`l dceulidetia i`tfrmittf`s wes essfssflwitj spfdigid qufstia`èirfs lfvfcapfl oy tjf Ca`la` Tdjaac ag Jykif`f e`l \rapidec Mflidi`f (CTJ\M)6 aroy e jistary ag e daraèry ertfry oypess kregt ar dara-èry e`kiapcesty.

\jf prfvecf`df ag acl myaderliec i`gerdtia`s wesfvecuetfl witj tjf CTJ\M qufstia`èirf, i`dculi`ksymptams, jaspitec rfdarls e`l prfsf`df ag spfdigidFDK itfms eddarli`k ta tjf Mi``fsate Dalf6, i` per-tiducer, prfsf`df ag U e`l UT wevfs (itfm 5), `fketivf \ wevf (itfm 6) e`l lysrjytjmies (itfms 7, ; e`l :.4)7.

\jf prfvecf`df ag etriec gioriccetia` wes essfssfl ed-darli`k ta tjf Mi``fsate Dalf (itfm :.4).

\jf prfvecf`df ag stranfs wes fvecuetfl eddarli`kta tjf CTJ\M qufstia`èirf e`l e rfvifw ag jaspitecrfdarls.

Cfgt vf`triducer jypfrtrapjy wes essfssfl eddarl-i`k ta tjf Mi``fsate Dalf (itfm 4.5).

Jfert retf wes decducetfl es tjf evfrekf ag jfert ofets pfr miùtf oftwff` cfels I e`l W7.

\jf mfteoacid sy`lramf, ecsa nàw` es i`suci`-rf-siste`df sy`lramf, is djeredtfrizfl oy e` ekkrfketiaàg jypfri`suci` essadietfl witj e` ectfrfl rfkucetia` agkcydfmie, jikj trikcydfrilfs, caw JLC, jikj ocaalprfssurf, e`l eolamièc aofsity. I` dciìdec predtidf,tjf mfteoacid sy`lramf jes off` rfdf`tcy lfgi`fl oytjf Emfride`? e`l Furapfe`; kuilfci`fs es tjf prfs-f`df, i` tjf semf suohfdt, ag tjrff ar marf ag tjf gac-cawi`k dampa`f`ts8

- df`trec aofsity (weist 0 52? dm i` mf` e`l 0 :: dmi` wamf`)>- ectfrfl kcydfmie rfkucetia` (egtfr gesti`k 552 mk/lcar 7.5 mmac/c)>- jikj trikcydfrilfs (562 mk/lc ar 5.; mmac/c)>- caw JLC (3 3 62mk/lc ar 5.4 mmac/c i` wamf`)>- jikj ocaal prfssurf (542/:6 mmJk).

Gemicy jistary gar etjfrasdcfratid derliavesducerlisfesfs, jypfrtf`sia`, jypfrcipilfmie, e`l lieoftfswes essfssfl witj qufstia`s rfkerli`k girst-lfkrffocaal rfcetivfs, da`silfri`k a`cy mf` 3 66 yfers e`lwamf` 3 76 yfers wja lifl gram ar jel e stranf ar my-aderliec i`gerdtia`.


5/45

Assfrvetaria Fpilfmiacakida Derliavesdacerf Itecieà

Rrfsf`tezia`f lfi risucteti

I leti reddacti vf`kaà prfsf`teti damf mflif f lf- vieziaì ste`lerl pfr cf verieoici da`tiùf f damf grfquf`zf pfrdf`tueci pfr qufccf detfkaridjf> saà ste`-lerlizzeti pfr ft, da`silfre`la damf rigfrimf`ta cepapacezia`f itecieè rfsilf`tf ec 599 @arl-Fst, i`dcusive lfi leti reddacti `fi df`tri lfc \rf`tiàEcta Elikf, Wf`fta, Griuci-Wf`fzie Kiucie, Fmicie _a-mekè> Df`tra, i`dcusive lfi leti reddacti `fi df`tri lfc-ce \asdeè, Vmorie, Merdjf, Cezia> Tul f Isacf, i`dcu-sive lfi leti reddacti `fi df`tri lfccEoruzza, Macisf,Dempeìe, Rukcie, Oesicidete, Deceorie, Tidicie, Terlf-kè.

Wf`kaà prfsf`teti i leti rfcetivi eccf derettfristidjflfmakregidjf lfc dempia`f li papacezia`f fsemièta,ec titaca li stulia f ecca steta divicf, i pri`dipeci gettari lirisdjia derliavesdacerf, ce prfvecf`ze lfccf pri`dipecida`liziaì e risdjia, ce prfvecf`ze lfccf mecettif der-liavesdaceri f lfcce gemicierit pfr mecettif derliave-sdaceri f pfr ipfrtf`sia`f, liscipilfmie f lieoftf.

Vè lfsdrizia`f e pertf pfr i gettari li risdjia f ceprfvecf`ze lfccf mecettif stete gette pfr cf pfrsa`f lift 76-;< e`ì f pfr cf la``f i` mfàpeuse. I leti rf-cetivi eccf la``f i` mfàpeuse saà ste`lerlizzeti pfrft> cft mflie lfcce la`è i` mfàpeuse risuctete li 7? e`ì> cft mflie ecce mfàpeuse risuctete li 62e`ì.

_fsucts

Lete lispceyfl erf sjaw` es mfe` vecufs e`l ste`-lerl lfvietia`s gar da`tiùaus verieocfs e`l es pfr-df`t gar detfkaridec verieocfs> ekf-ste`lerlizfl ed-darli`k ta tjf Itecie` papucetia` i` 599@artjfest, i`dculi`k lete gram\rf`tià Ecta Elikf, Wf`fta, Griuci-Wf`fzie Kiucie,Fmicie _amekè> Df`tfr, i`dculi`k lete gram \usde`y,Vmorie, Merdjf, Cetium> Tautj e`l Isce`ls, i`dculi`klete gram Eoruzza, Macisf, Dempeìe, Epucie, Oesici-dete, Deceorie, Tidicy, Terliìe.

Lfmakrepjid djeredtfristids, fludetiaèc cfvfc,meritec stetus, mehar derliavesducer risn gedtars,prfvecf`df ag jikj-risn da`litia`s, prfvecf`df ag der-liavesducer lisfesfs, gemicy jistary gar derliavesducerlisfesf, jypfrtf`sia`, jypfrdjacfstfracfmie e`l lie-oftfs erf prfsf`tfl.

I` ellitia`, lete a` mfàpeusec wamf` e`l aclfrpfrsa`s 76-;< yfers erf rfpartfl sfperetfcy. Lete rf-cetfl ta mfàpeusec wamf` erf ekf-ste`lerlizfl> tjfmfe` ekf ag mfàpeusec wamf` wes 7? yfers> tjfmfe` ekf et mfàpeusf wes 62 yfers.

Dammf`ta

I` qufste II flizia`f lfccEtce`tf saà prfsf`teti,pfr ci`tfre papacezia`f fsemiète, leti i`tfkretivi equfcci lfsdritti `fcce I flizia`f> vf`kaà iàctrf prfsf`-teti pfr ce prime vacte i leti rigfriti e luf kruppi li pa-pacezia`f pertidacermf`tf kreveti lec derida lfccf me-cettif derliavesdaceri f lfi cara gettari li risdjia, kci e`-

zieì, le ài lfgiìti lei 76 ei ;< e`ì, f cf la``f i` mf- àpeuse.I` kf`frecf, cfcfvete prfvecf`ze li aofsit, essadie-

te el uè da`tfmpare`fe fcfvete prfvecf`ze li iètti-vit giside da`gfrmeà ca soice`diemf`ta tre cf decarifi`tralattf da` cecimf`tezia`f f ce limiùzia`f lfccfdecarif lispfrsf ettrevfrsa uèttivit giside rfkacerf,da`sfkuf`ti e demoiemf`ti lfccf eoituliì li vite evvf-ùti `fkci uctimi lfdf`ì. I vecari risda`treti i`lideàdjf e`dare macta si pu gerf mikciare`la cezia`f sukci stici li vite, i` pertidacerf pramuavf`la eziaì succeu-mf`ta lfccettivit giside, f su uè seè ecimf`tezia`f,derettfrizzete leccempie verift li dioi li ariki`f eì-mecf f vfkftecf, da` cimiteta da`suma li secf, oessada`suma li kressi, spfdiecmf`tf li ariki`f eìmecf,

64T

Dammf`ts

\jf ?`l flitia` ag tjis Etces dampcftfs tjf girst a`f witj `fw lete a` tjf risn gedtar listrioutia` e`l tjfprfvecf`df ag jikj-risn da`litia`s i` tjf papucetia`sempcfl. Lete a` tjf aclfr papucetia` ekfl 76-;


6/45

Itec Jfert H Wac 6 Tuppc 4 ?22 :8 ?26-;5.

?. Fxpfrt Re`fc a` Lftfdtia`, Fvecuetia`, e`l \rfetmf`t agJikj Ocaal Djacfstfrac i` Elucts. Fxfdutivf Tummeryag tjf \jirl _fpart ag tjf @etia`ec Djacfstfrac Flude-tia` Rrakrem (@DFR) Fxpfrt Re`fc a` Lftfdtia`, Fvecu-etia`, e`l \rfetmf`t ag Jikj Ocaal Djacfstfrac i`Elucts (Eluct \rfetmf`t Re`fc III). HEME ?225> ?:68?


7/45

@umfrasit lfi pertfdipe`ti pfr sfssa f dcessf li ftVAMI@I

Itecie 46


8/45

I\ECIEG_FUVF@XEDE_LIEDE

Grfq.Oett./mi`

R_FTTIA@F E_\F_IATE

RETmmJk

RELmmJk 44% 45%

59%5


9/45

Meritec stetus oy kfakrepjid erfes i` mf` e`l wamf`8 si`kcf, merrifl, livardfl, wilaw.

Fludetia` oy kfakrepjid erfes i` mf` e`l wamf`8 primery, sfda`lery, jikj sdjaac, u`ivfrsity.

6;T


10/45

R_FTTIA@F E_\F_IATE@A_L-AWFT\

RETmmJk

@A_L-FT\

REL??%

57%:; + 55mmJk

4;%?9%

RETmmJk

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44%

?2%56%

?9% 549 + 5:544 + 5:

546 + 5;

545 + 5;

:; + 9

:4 + 9

:? + 52Oarlfr Ipfrtfsi

Oarlfr IpfrtfsiLA@@F

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RELmmJk 45% ?9% RET

mmJkREL

mmJk546 + 5:

545 + 5:

:< + 52 5:% 54%

:2 + 52Oarlfr Ipfrtfsi

44% 4


11/45

\rikcidfrilfmie f CLC@A_L-AWFT\

mk/lc

@A_L-FT\

\rikcidfrili

\rikcidfrilimk/lc

CLCmk/lc

CLCmk/lc

54? + ;9

527 + 65

5?6 + 4:

5?2 + 4;5


12/45

G_FUVF@XE DE_LIEDE

@A_L-AWFT\

Grfquf`zeOett./mi`

@A_L-FT\

Grfquf`zeOett./mi`

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Grfquf`zeOett./mi` Grfquf`ze

Oett./mi`;2 + 52

;4 + 52;5 + 52

;< + 52

Mfe` cfvfcs ag jfert retf i` Itecie` medraerfes. Mf` e`l wamf`.

Misurf e`trapamftridjf

F AOFTI\E@A_L-AWFT\

IMDNk/m

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dm

6?%

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13/45

I@E\\IWI\E GITIDE

@A_L-AWFT\

46%??%

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4


14/45

I\ECIE

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15/45

I\ECIE

5,5% 2,:%

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Gioriccezia`f Etriecf

Itecy. Rrfvecf`df ag derliavesducer lisfesfs8 stranf, \IE, etriec gioriccetia`. Mf` e`l wamf`.

74T


16/45

@A_L-AWFT\

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17/45


18/45

Lieoftf f Ti`lramf Mfteoacide@A_L-FT\

@A_L-AWFT\

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19/45

Gemicierit pfrcf MDW

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20/45


21/45

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22/45

I\ECIE

76;


23/45


24/45



25/45


mk/lc

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\rikcidfrili

\rikcidfrilimk/lc

CLCmk/lc

CLCmk/lc

5?6 + 75

5?5 + 67

5?4 + 46

5?7 + 4:5?9 + 725?5 + 65

542 + 4


26/45

G_FUVF@XE DE_LIEDE

@A_L-AWFT\

Grfquf`zeOett./mi`

@A_L-FT\

Grfquf`zeOett./mi`

;? + 52;< + 55

;2 + 52

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27/45

I@E\\IWI\E GITIDE

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49% 4?%?6%

@A_L-FT\

49% 4;%

?2%7%

Cevara \fmpa ciofra52%

Cevara \fmpa ciofra LA@@F

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28/45

76;


29/45

76;


30/45

76;


31/45

76 - ;


32/45


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33/45


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34/45

@A_L-AWFT\76;


35/45

76;


36/45

I\ECIEG_FUVF@XEDE_LIEDE

Grfquf`zeOett./mi`

R_FTTIA@F E_\F_IATE


37/45


RET


38/45


\rikcidfrilimk/lc

@A_L-FT\

\rikcidfrilimk/lc

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CLCmk/lc 559 + 67 542 + 4:

55: + 66 5


39/45

G_FUVF@XE DE_LIEDE

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Grfquf`zeOett./mi`

@A_L-FT\

Grfquf`zeOett./mi`

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Grfquf`zeOett./mi` Grfquf`ze

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Mfe` cfvfcs ag jfert retf i` Itecie` medraerfes. Mf`apeusec wamf`.

Misurf e`trapamftridjf

F AOFTI\E@A_L-AWFT\

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40/45

I@E\\IWI\E GITIDE

@A_L-AWFT\


41/45

I\ECIE

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Tiìstre

DceulidetiaI`tfrmittf`s

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Gioriccezia`fEtriecf

Itecy. Rrfvecf`df ag derliavesducer lisfesfs8 myaderliec i`gerdtia`, e`kiè pfdtaris, cfgt vf`triducer jypfrtrapjy, dceulidetia i`tfr-mittf`s, stranf, \IE, etriec gioriccetia`. Mfàpeusec wamf`.

:9T


42/45

@A_L-AWFT\

7,5% 5,


43/45

DF@\_A

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44/45


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46%


45/45


@A_L-AWFT\46%

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DF@\_ATVL f ITACF

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Gemicy jistary ag derliavesducer lisfesfs i` Itecie` medraerfes. Mf`apeusec wamf`.

the italian cardiovascular epidemiological

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