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October 19, 1940


Author Affiliations

Los Angeles

JAMA. 1940;115(16):1390. doi:10.1001/jama.1940.02810420076025

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To the Editor:—  Master and Dack, the authors of the article "Rehabilitation Following Acute Coronary Artery Occlusion" (The Journal, Sept. 7, 1940, p. 828), base their claims on their belief that "coronary occlusion is the end result of a progressive arteriosclerotic process,..." which process is not related to activity. I take exception to the concept that it is unrelated to activity.I have never seen a case of acute coronary occlusion in a really sedentary person except as secondary to diabetes or hypertension. The patient may have been retired as to occupation but not as to activity. He may have suffered severe mental anguish or been subjected to physical exertion unrelated to occupation but just as real in the effect on his physical well-being.The authors stress the losses to insurance companies for claims wherein the patients might have been rehabilitated. Those patients who have returned to work following coronary

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