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Correspondence
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Volume 340:730-732 March 4, 1999 Number 9
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Rates of Death from Coronary Heart Disease

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 by Levy, D.
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To the Editor: Levy and Thom (Sept. 24 issue),1 in their editorial on rates of death from coronary heart disease (CHD), note an apparent paradox in the declining prevalence of causal risk factors for myocardial infarction and the lack of change or slight increase in the incidence of that disease process from 1987 to 1994, as reported by Rosamond et al. in the same issue.2 Levy and Thom seek to explain this paradox by looking at the conventional risk factors. I believe this view is too restricted and that, instead of a paradox, there is a failure to look for . . . [Full Text of this Article]

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