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March 1973

Coronary Heart Disease: Epidemiology and Prevention.

Arch Intern Med. 1973;131(3):465. doi:10.1001/archinte.1973.00320090155019

This view of coronary disease from the other side of the world is wellplanned, well-written, and has an adequate bibliography. R.B. Scott, physician, Saint Bartholomew's Hospital, has written a helpful foreword. The 19 chapters cover all aspects of pathogenesis, including iatrogenic coronary symptoms. Ninety pages are devoted to management.

Many Americans will be surprised to find that the death rates for coronary disease in India run from 12% in Calcutta and Madras to 35% in Agra. In the discussion of pathogenesis, due weight is given to diet, to lipid infiltration as the initiating step, and to thrombosis, which completes occlusion. The relation of diet and mode of eating to intake and absorption of triglycerides, and the effect of plasma lipids on thrombogenesis is well described. One startling sentence, "The absorption of fats depends upon the amount of bilirubin in the intestine," is corrected in the next sentence which ascribes the

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