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February 18, 1961

Coronary Disease-Reply

JAMA. 1961;175(7):632. doi:10.1001/jama.1961.03040070090028

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To the Editor:—  I should like to comment on Dr. Arthur Master's article on "The Role of Effort and Occupation (Including Physicians) in Coronary Occlusion," in The Journal, Oct. 22, 1960. I gather from the text of the article that the word "effort" is used interchangeably with "exertion." It does not seem to embrace the concept that mental or emotional strain may impose a burden on the circulatory apparatus that is comparable to that imposed by manual labor. I suspect from the defensive tone of the article that the author is seeking to prove a point. There appears little of the judicial attitude of an investigator striving to throw light on a difficult problem that admits of many conflicting viewpoints.Is it possible that Dr. Master's statement to the effect that "neither occupation, effort nor rest play a role in this form of heart attack (i.e., acute coronary occlusion)," bears

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