1. Introduction 2. Background on Cardiovascular Diseases 2.1 Definition and Statistics 2.2 Risk Factors 2.3 Current Prevention Strategies 3. Personalized Genomic Medicine Overview 3.1 Definition and History 3.2 Technological Advances 3.3 Ethical Considerations 4. Genomics in Cardiovascular Disease Prevention 4.1 Genetic Markers and Testing 4.2 Risk Assessment Models 4.3 Integration into Clinical Practice 5. Case Studies and Clinical Trials 5.1 Successful Implementations 5.2 Limitations and Challenges 5.3 Comparative Analysis 6. Cost-Effectiveness Analysis 6.1 Economic Evaluation Frameworks 6.2 Long-term Healthcare Savings 6.3 Patient Outcomes and Impact 7. Barriers to Implementation 7.1 Technical Challenges 7.2 Regulatory Obstacles 7.3 Public and Provider Perceptions 8. Future Directions and Recommendations 8.1 Research Opportunities 8.2 Policy Development 8.3 Public Health Initiatives
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