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Regional Differences in Prevalence, Incidence and Mortality from Atherosclerotic Coronary Heart Disease

  • Chapter
Ischaemic Heart Disease

Part of the book series: Boerhaave Series for Postgraduate Medical Education ((BSPM,volume 3))

Abstract

There is no doubt that marked regional differences exist in the occurrence of atherosclerotic disease. Medical research has been accumulating data on this phenomenon for several decades. It is by no means a de novo discovery stemming from the post-World War II surge of research on this problem. Valuable reviews of the earlier literature, published in the 1930s, remain worthy of study (1–6). At this Boer-haave Course, it is appropriate to refer specifically to researches in the Dutch East Indies by European investigators:

‘Dutch East Indies: the diet of the natives consists chiefly of cereals. Blood cholesterol is low but rises in those who adopt European dietary habits (de Langen). The blood pressure of the natives is low: arteriosclerosis ‘at least in its pronounced form’ is rare (Sitsen). Angina pectoris is uncommon (Wenckebach.)’ (6)

The references to De Langen, Sitsen and Wenckebach are to works published during the years 1921–3 (7–9). These are only three among more than two score references on the subject of regional differences, noted in the literature by the cited reviewers thirty-five years ago.

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Authors
  1. J. Stamler
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  2. Rose Stamler
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  3. R. B. Shekelle
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Editor information

Editors and Affiliations

  1. Netherlands Heart Foundation, University of Leiden, The Hague, Netherlands

    J. H. De Haas M. D.

  2. Laboratory of Cardiovascular Biochemistry, University Hospital, Leiden, Netherlands

    H. C. Hemker M. D.

  3. Department of Cardiology, University Hospital, Leiden, Netherlands

    H. A. Snellen M. D.

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© 1970 Leiden University Press, Leiden, The Netherlands

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Stamler, J., Stamler, R., Shekelle, R.B. (1970). Regional Differences in Prevalence, Incidence and Mortality from Atherosclerotic Coronary Heart Disease. In: De Haas, J.H., Hemker, H.C., Snellen, H.A. (eds) Ischaemic Heart Disease. Boerhaave Series for Postgraduate Medical Education, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-010-3347-3_10

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  • DOI: https://doi.org/10.1007/978-94-010-3347-3_10

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-3349-7

  • Online ISBN: 978-94-010-3347-3

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