RT Journal A1 Canto JG, Kiefe CI, Greenland P T1 COronary heart disease risk factors and mortality—reply JF JAMA JO JAMA YR 2012 FD March 21 VO 307 IS 11 SP 1137 OP 1138 DO 10.1001/jama.2012.325 UL http://dx.doi.org/10.1001/jama.2012.325 AB Dr Santulli seeks additional information that may enhance our study, such as the influence of a dose-dependent effect of CHD risk factors, presence of the metabolic syndrome, other novel risk markers, and infarct size. Unfortunately, these factors were not available in the National Registry of Myocardial Infarction. Although baseline infarct size was not recorded, the finding of an inverse relationship between the number of CHD risk factors and mortality was consistently observed among patients with low-, intermediate-, and high-risk features using 2 well-validated measures of infarct severity (Killip classification and TIMI Risk Index).