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EDITOR
Psychological or emotional stress is often suggested as a cause
of disease. In dermatology stress is sometimes cited as a cause of
diseases such as psoriasis. The biological causality of such
correlations is not always immediately apparent, and stress may have
many psychological effects. In chronic diseases it also offers a sense
of consolation and explanation, which helps patients cope.
An important source of error seems not to have been taken into account in the study by Carroll et al on football and myocardial infarction.1 Delay in seeking medical treatment for myocardial infarction is an important variable.2 On the basis of personal experience as a medical house officer in 1986 when Denmark participated in the World Cup finals, I think that simple delay is an important factor in any increased mortality from cardiovascular events at such times.
The emergency rooms were notably empty during all matches, and
patients reappeared
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