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Mailing address: Max Grinberg • InCor Av. Dr. Enéas de Carvalho Aguiar, 44 05403-000 São Paulo, SP Brazil E-mail: grinberg@incor.usp.br Manuscript received April 25, 2007; Revised manuscript received May 10, 2007; Accepted May 30, 2007. “... guidelines, viewed as anything less than objective and reflecting broad consensus, may be inadequate to overcome the rugged individualism inherent to physicians...” Anthony N. De Maria (Editor-in-chief – Journal of the American College of Cardiology)

E(TI)cossistema da cardiologia diretriz, mecenas do estado da arte