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Previous Volume 335:1597-1599 November 21, 1996 Number 21 Next

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Cardiovascular disease remains the leading cause of death and the greatest contributor to excess mortality among black Americans in the 1990s.^1,2,3,4 Rates of death from cardiovascular causes among black Americans are among the highest in the industrialized world.³ Age-adjusted rates of death from coronary heart disease, the largest component of cardiovascular disease, have declined less rapidly among Americans of African origin than among Americans of European origin, so that in African-American men as well as women, these rates now exceed those of their European-American counterparts.⁵ Our understanding of the ethnic distribution of cardiovascular disease and the appropriate public health response . . . [Full Text of this Article]

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