November 1966

Increasing Autopsy Incidence of Coronary Heart Disease in Women

Author Affiliations


From the Department of Community Health and Medical Practice, University of Missouri School of Medicine, Columbia, Mo.

Arch Intern Med. 1966;118(5):436-445. doi:10.1001/archinte.1966.00290170024005

OWING TO a decline in infectious-disease deaths and an apparent increase in some types of chronic diseases, cardiovascular diseases are now the leading cause of death in the United States. Some investigators believe that we are now witnessing an "epidemic" of coronary heart disease (CHD) among the white, male population of the United States and England. Others feel that this apparent increase in CHD results from a greater proportion of persons in the older age groups in the population, from changes in the classification of heart disease, from better diagnosis by physicians, and from more widely accepted usage of the term, "coronary heart disease," in certifying causes of death.1

Coronary heart disease is relatively rare among white women before the age of menopause. Mortality statistics in the United States for the past 40 years show an increase in cardiovascular-renal disease death rates for white males and a decrease

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