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May 21, 1973

Prevention of Cardiovascular Disease

JAMA. 1973;224(8):1189-1190. doi:10.1001/jama.1973.03220220087029

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To the Editor.—  At a recent American Heart Association Conference on Cardiovascular Disease Epidemiology, a commentator on a paper relating to blood pressures in children implied that pediatricians as a group are somewhat remiss when it comes to doing routine blood pressure determinations on their patients. It is unfortunate that such a premise, though unsubstantiated by actual data, is probably valid, and the mere fact that suspicions exist should be disturbing to pediatricians.In a day when cardiovascular disease is the number one health problem confronting our nation, it is equally lamentable to surmise that the average pediatrician does not routinely inquire, even cursorily, into such familial disorders as strokes, hypertension, myocardial disease, diabetes, lipid disorders, and gout; nor is he likely to screen for hyperlipidemias, hyperglycemia, or hyperuricemia when family histories warrant.Pathogenetically speaking, cardiovascular disease is a pediatric disease. Its earliest footprints on aortal intimae appear in early