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July 1976

Acute Myocardial Infarction in an American Traveler in China

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