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Myocardial Infarction Among Southwestern American Indians

Ann Intern Med. 1967;67(4):800-807. doi:10.7326/0003-4819-67-4-800
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In numerous publications (1-15) coronary heart disease has been considered rare among southwestern American Indians. There are three criteria for the diagnosis of this condition, as proposed by the Framingham Study (16). These include angina pectoris, myocardial infarction, and sudden death when no other cause is suggested by prior medical history. The infrequency of all of these manifestations among southwestern tribes has been stressed by previous investigators.

Most of the earlier reports have been confined to single tribes for relatively short observation periods, and only a few Indians with coronary heart disease have been described. The present investigation includes all


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