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International Journal of Epidemiology 2002;31:1109-1110
© International Epidemiological Association 2002

Reprints and Reflections

Commentary: Modern stress and coronary heart disease: still problematic

S Leonard Syme

University of California, Berkeley, CA, USA.

The first 10% of the full text of this article appears below.

It is easy to dismiss this paper.1 Stewart poses an interesting question and then suggests an answer based on clinical speculation, anecdotes, and selective citations from the literature. The paper was published in 1950 and while it is true that there was not a lot of good data available at that time, there was some, and it was not used. Why, then, pay attention to this paper now?

The problem Stewart deals with is the observation of a major increase in coronary heart disease (CHD) during the first half of the 20th century among middle-aged men living in ‘civilized’ countries. He points out, however, that this explosion of CHD is unknown . . . [Full Text of this Article]


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