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May 10, 1976

Emotional Factors and Heart Disease

Author Affiliations

Director Harold Brunn Institute Mount Zion Hospital and Medical Center San Francisco

JAMA. 1976;235(19):2081. doi:10.1001/jama.1976.03260450013013

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To the Editor.—  As a physician somewhat involved in the subject discussed by two correspondents in the LETTERS section (234:380, 1975), I would like to respond to several of their comments.First, I would agree with Dr Coodley that it would have been far more helpful if Stamler et al had not indulged in a public debate, but rather had joined forces to emphasize that the cessation of smoking, the control of hypertension, adequate exercise, a low cholesterol diet, and the search for tranquility were the measures needed now to combat the incidence of coronary heart disease. But these were the precise measures that Dr Rosenman and I already had advocated in our recently published book, Type A Behavior and Your Heart. Thus, what was described as "a superb example of reductio ad absurdum" need not have taken place.Responding to Dr Webb's letter, I believe that he might become