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May 10, 1958


Author Affiliations

1600 Divisadero St. San Francisco 15.

JAMA. 1958;167(2):252. doi:10.1001/jama.1958.02990190106027

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To the Editor:—  We are heartened by both the splendid article of Pell and D'Alonzo which appeared in the Jan. 25, 1958, issue of The Journal, page 332, and the later critical comments of Dr. Russek in the March 22, 1958, issue, page 1508, if only because both sets of investigators are determined to study the possible role of job responsibility in the pathogenesis of clinical coronary artery disease.Although we would agree with Dr. Russek's implication that occupational titles may be misleading, nevertheless, if Pell and D'Alonzo continue to find that the executive and managerial group of their company fails to exhibit a greater morbidity of clinical coronary disease than lesser paid groups, they have excellent cause indeed to absolve this higher echelon as a group from the blight of increased susceptibility to the disorder in question. Such a result would not justify, however, the conclusion that socioeconomic stress

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