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ACS is diagnosed based on American College of Cardiology and American Heart Association guidelines, which require at least two of the following features: typical electrocardiographic changes, compatible clinical symptoms, and elevated cardiac biomarkers (troponin T and I) 20

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Historical Context of Tobacco Control in Spain Garcia said the plan sought to put Spain back at the forefront of tobacco control after earlier reforms banned smoking in enclosed workplaces in 2005 and inside bars and restaurants in 2010

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