(Source: American College of Cardiology Foundation) When encountering a problem, its nature and scope must be assessed honestly and comprehensively prior to determining what strategic approach(es) ought to be taken, and then what tactical options should be deployed in order to achieve the strategic goals. These preliminary characterizations of a problem's structure are, to use a term in mathematics, the 'initial conditions.' In this Expert Analysis article, we attempt to outline the initial conditions that we face as a community of cardiovascular surgeons, physicians, and scientists, and from these conditions, to develop strategies and tactics to deal with a particularly challenging problem...
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