Abstract
Since the late 1960s, death rates in the United States from coronary heart disease have fallen steadily and markedly. This decline has involved all sectors of the adult population.1 , 2 For persons aged 35 to 74 years, the rate of mortality from coronary heart disease has fallen by over 30 per cent, resulting in more than 800,000 lives saved since 1968. Death rates from stroke have declined even more precipitously.The decline in mortality from coronary heart disease is all the more remarkable because it occurred after a sustained period of rising death rates from this cause,1 , 2 going back to at . . .