Key result
Preventive measures, rather than improved care after myocardial infarction, are likely the main reason for the decline in cardiovascular mortality.
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The author argues that preventive measures, rather than improved post-MI care, are the primary drivers of declining cardiovascular mortality.
To the Editor.— It is not surprising to me that neither Weinblatt et al (1982; 247:1576) nor Goldberg et al1were able to demonstrate that care after myocardial infarction (MI) was a significant reason for the drop in mortality from this disease during the late 60s and early 70s. It is more difficult to mend a broken egg (heart), than it is to prevent it from breaking. In the course of time, preventive measures will most likely be found to be the reason for this drop in mortality. The editorial comment by Dr Havlik (1982;247:1605) that accompanied the article by Weinblatt and co-workers, that this will be a "bitter pill" for those who have hoped that improved careafterMI would be the main reason for the decline in cardiovascular mortality, is probably true. It is also sad that this may come as a surprise to many physicians. Currently, it
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Byron Monroe (1982) conducted a letter in Myocardial Infarction. Preventive measures, rather than improved care after myocardial infarction, are likely the main reason for the decline in cardiovascular mortality.
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