The described clinical case illustrates the fifteen years’ advance of the man on classical stages of a cardiovascular continuum caused by extremely low commitment to therapy with a debut of risk factors at 35-year age and the final at a stage of a systolic heart failure after a Q-positive myocardial infarction at the age of 50 years when, even in the conditions of a high compliance, therapeutic opportunities of tertiary prophylaxis of coronary heart disease are extremely limited.
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A 2017 study studied this question.