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Copyright © European Society of Cardiology - All rights reserved.

The content of these European Society of Cardiology (ESC) Guidelines and their derivative products has been made available for personal and educational use only. No commercial use is authorized. No part of the ESC Guidelines and their derivative products may be translated or reproduced in any form without written permission from the ESC.

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viewed, printed or downloaded for individual use, linked to from external websites or online media. In order to benefit from updates and additional sources of information, the ESC recommends linking to the relevant ESC Guidelines pages, instead of linking directly to documents themselves.

The ESC does not allow for the insertion of its Guidelines and derivative products (full or partial) in external websites, pages, portals or servers, unless specific exceptional permission has been granted for such.


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The ESC Guidelines represent the views of the ESC and were arrived at after careful consideration of the available evidence at the time they were written. Health professionals are encouraged to take them fully into account when exercising their clinical judgment. The guidelines do not, however, override the individual responsibility of health professionals to make appropriate decisions in the circumstances of the individual patients, in consultation with that patient, and where appropriate and necessary the patient’s guardian or carer. It is also the health professional’s responsibility to verify the rules and regulations applicable to drugs and devices at the time of prescription.

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