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July 1976

Acute Myocardial Infarction in an American Traveler in China

Author Affiliations

From the Department of Tropical Public Health, Harvard School of Public Health, Boston (Dr Lehman), and the Department of Family, Community, and Preventive Medicine, Stanford University School of Medicine, Stanford, Calif (Dr Basch).

Arch Intern Med. 1976;136(7):804-806. doi:10.1001/archinte.1976.03630070048015

Developed countries have experienced an epidemic rise in the prevalence of coronary artery disease, accompanied by decreasing age of first myocardial infarction. A similar trend appears to be present in the People's Republic of China,1 perhaps as a result of socioeconomic changes that are taking place in that country in the postliberation era. Recent travelers to China have commented on clinical and research activities in coronary artery disease.1-3

The increasing frequency of travel by Americans to the People's Republic of China, together with the high prevalence of coronary artery disease in American men, made inevitable the occurrence of a myocardial infarction in an American traveler during his visit to China. We describe such an event and illustrate the state-of-the-art of cardiology in the People's Republic of China, emphasizing the organizational and political influences determining provision of emergency medical care. The patient's recovery was due to the immediate availability

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