We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Mortality After Myocardial Infarction-Reply

Eve Weinblatt; William Ruberman, MD
JAMA. 1983;249(7):885. doi:10.1001/jama.1983.03330310021017.
Text Size: A A A
Published online


In Reply.—  A serious view of epidemiology as a discipline must reject the comparisons made by Dr Zumoff on an issue of public health importance. Between 1968 and 1976, mortality from coronary heart disease (CHD) declined in the United States by more than 20%, while before this, it had been rising. From two large earlier studies of patients with CHD in the Health Insurance Plan (HIP) of Greater New York, New York, we identified diagnostically comparable male survivors of a first myocardial infarction—436 men followed up in the 1960s and 697 in the 1970s. Controlling for important clinical influences on prognosis, we found no secular improvement in long-term survival during this time period (JAMA 1982;247:1576). Since the evidence on temporal changes in coronary risk factors since the late 1960s suggested that these alone could not have produced the total decline in mortality that had occurred, we concluded that the survival


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.