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Some people are at very low risk from heart disease

BMJ 1999; 319 doi: http://dx.doi.org/10.1136/bmj.319.7224.1522c (Published 11 December 1999) Cite this as: BMJ 1999;319:1522
  1. Scott Gottlieb
  1. New York

    Individuals at the lowest risk from three major risk factors for cardiovascular disease are significantly less likely to die from myocardial infarction or stroke than those at average risk, according to an analysis of the results of two long term studies.

    The risk factors considered were lipid concentrations, blood pressure, and cigarette use (JAMA 1999;282:2012-8).

    Lead author Jeremiah Stamler, of Northwestern University Medical School, Chicago, and colleagues, analysed data from five groups of patients who participated in two long term studies of cardiovascular and non-cardiovascular mortality and life expectancy—the multiple risk factor intervention trial and the Chicago Heart Association detection project in industry.

    A total of 72 144 men aged 35 to 39 years and 270 671 men aged 40 to 57 participated in the risk factor intervention trial. Information was available from three groups in the …

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