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In a recent Editorial Comment in this Journal on my article on the implementation of a regional system for the emergency care of acute ischemic stroke, Carlos Morais states ‘‘There is still a long way to go in terms of optimizing patients’ access to specialized health centers . . . for which it is necessary to implement dedicated clinical pathways within institutions.’’ This is precisely the reasoning behind the project implemented in the North region of Portugal that is presented in the article and that has had excellent results (Figure 1). Its

Fighting mortality from cardiovascular disease: A challenge to society – but only after health professionals have shown the way