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Correspondence
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Volume 340:1762-1763 June 3, 1999 Number 22
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Carotid-Artery Intima and Media Thickness as a Risk Factor for Myocardial Infarction and Stroke

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 by O'Leary, D. H.
To the Editor: Better predictors of stroke and myocardial infarction are clearly needed. The article by O'Leary and colleagues (Jan. 7 issue),1 which draws attention to the association between carotid-artery intima–media thickness and the risk of stroke and myocardial infarction in asymptomatic men and women who are 65 years of age or older, has made a contribution. However, the technology they used is complex and expensive, and the differences in carotid-artery intima–media thickness between patients at high risk and those at low risk are too small for common clinical use. The report by O'Leary et al. proposes the use of . . . [Full Text of this Article]

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