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JAMA. 1970;214(3):583-584.

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

As reported earlier, William B. Kannel, MD, director of the well-known Framingham Study, stated that one of the most striking discoveries of the study was the high incidence of sudden death.¹ Two thirds of all fatalities resulting from initial myocardial infarction came less than one hour after onset in both men and women. In 20% of these cases, sudden death was the first indication of serious heart disease. These facts led him to question the value of mobile coronary care units and to advocate that physicians go back to the asymptomatic, latent phase of coronary artery disease if an appreciable reduction in mortality is to be achieved.

A similar opinion is offered by Pyo and Watts² in their study of 87 patients brought to the emergency room of a general hospital. Thirty-seven of the patients were dead on arrival; the remaining 50 were admitted subsequently to a coronary . . . [Full Text PDF of this Article]

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