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Conversely, Western Europe showed relative success in mitigating HFPG-related CVD mortality, achieving a 27.5% decline in mortality rates (from 41.4 to 30.0 per 100,000) and maintaining a stable contribution of HFPG to total CVD deaths at around 10% (9.5 to 10.4%), reflecting effective integration of glycemic control into broader cardiovascular prevention frameworks [16]

However, due to the difference in the natural history of the two forms of chronic liver failure and ALF, NAC has been less studied in patients with ALF