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June 28, 2000

Cardiovascular Procedures in Patients With Mental Disorders—Reply

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Contributing EditorIndividualAuthor

JAMA. 2000;283(24):3198-3199. doi:10.1001/jama.283.24.3198

In Reply: The data of Drs Young and Foster demonstrate that patients with mental disorders who are younger than 65 years have low rates of cardiovascular procedures similar to that of those aged 65 years and older. The increased in-hospital mortality among younger patients with mental disorders is consistent with the literature demonstrating excess cardiovascular mortality in this population.1 The juxtaposition of these 2 findings raises the important question of whether, or to what degree, differences in these patients' cardiac care might mediate that excess mortality.