TY - JOUR T1 - TIme for a creative transformation of epidemiology in the united states AU - Lauer MS Y1 - 2012/11/07 N1 - 10.1001/jama.2012.14838 JO - JAMA SP - 1804 EP - 1805 VL - 308 IS - 17 N2 - In 1948, when Barkley was elected vice president (under President Harry S Truman), the National Heart Institute launched the Framingham Heart Study, an innovative and now internationally recognized population-based epidemiological project that brought together prominent scientists with members of the community of Framingham, Massachusetts. Thirteen years later, in 1961, the Framingham investigators introduced the term risk factor into the medical lexicon.2 They described the links between incident coronary heart disease and hypertension, hypercholesterolemia, and electrocardiographic left ventricular hypertrophy. Later reports described other risk factors, including smoking and diabetes. These early discoveries led to further research in risk factor elucidation and management, management that has contributed to the remarkable 50-year decline in cardiovascular mortality in the United States.3 SN - 0098-7484 M3 - doi: 10.1001/jama.2012.14838 UR - http://dx.doi.org/10.1001/jama.2012.14838 ER -