The scary ones, and everybody's heard of these, the scary ones-as I said it's more common in people in their 70s, 80s, 90s, - but everybody's known somebody who's 30 or 40 who keels over and dies from a heart attack. It's very scary and very real. So patients don't always have a warning, so that type of heart disease clearly people can have a big impact if they live a healthy life. ... It really is really true, you can have a huge impact if you start early and you make a strong, strong effort. But the problem is it's difficult, it takes motivation - you've got to want to do it - and it's not always the easiest way to do it. ... The biggest factors are things like obesity, cigarette smoking, exercise or what you could call a sedentary lifestyle (a lack of exercise), controlling blood pressure and controlling cholesterol. Oh my goodness, those things are huge, especially [in] Carroll County.