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September 20, 1947


JAMA. 1947;135(3):179-180. doi:10.1001/jama.1947.02890030047023

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To the Editor:—  The article "The Longevity and Mortality of American Physicians, 1938-1942" in The Journal, August 9, by Dr. Dublin and Mr. Spiegelman is impressive and pertinent. These authors have written convincingly on an all important subject and one, according to the report, of special interest to physicians. The writers have apparently proved that coronary diseases are 80 per cent more frequent in male physicians than in a comparable group of men in the average population. It is serious enough to know that heart diseases are the main cause of death in this country and that coronary diseases are the most significant of these, but now we learn that physicians suffer from coronary diseases to a greater degree than others. However, I believe this can be remedied.There are two chief divisions of coronary diseases, as my colleagues and I have shown. The classic "acute coronary occlusion" is a

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