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  Vol. 289 No. 17, May 7, 2003 TABLE OF CONTENTS
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Improving Risk of Coronary Heart Disease

Can a Picture Make the Difference?

Philip Greenland, MD

JAMA. 2003;289:2270-2272.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Great progress has been made in understanding the causes of coronary heart disease (CHD) and in reducing the toll of the CHD epidemic.1 Following identification of the major CHD risk factors (smoking, hypertension, hypercholesterolemia, diabetes, and family history) during the 1950s through the 1970s, clinical trials in the 1980s and beyond proved the clinical benefits of treating them. Prevention of CHD is no longer a dream; it is a reality.2

The major risk factors are implicated in as many as 85% of CHD cases.3 Conversely, individuals with favorable levels of all of the major risk factors are largely protected from clinical CHD. A constellation of healthy risk factor levels, including total blood cholesterol of less than 200 mg/dL (5.18 mmol/L), systolic blood pressure of no more than 120 mm Hg, and diastolic blood pressure of no more than 80 mm Hg, combined with nonsmoking and no diabetes, . . . [Full Text of this Article]

Author Affiliation: Departments of Preventive Medicine and Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Ill.


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