Abstract
To the Editor: Dr. Mann (N Engl J Med 297:644, 1977) states "...the epidemic [of coronary heart disease] continues unabated, [and] cholesteremia in the population is unchanged." Both statements are incorrect.1 2 3 He further states, "Risk factors for coronary disease do not count after the age of 55." However, from 1963 to 1975, years of great emphasis on coronary risk factors, United States statistics showed a marked decline in age-specific coronary mortality after the age of 554 — for example, from 55 to 64, 23.7 per cent, from 65 to 74, 25.3 per cent, from 75 to 84, 12.8 per cent, . . .